Do I qualify for ConnectorCare?

To qualify for ConnectorCare:

• You must live in Massachusetts.
• You must be a U.S. citizen or a “lawfully present” non-citizen.
  • See more about “lawfully present”
• Your income must be 3 times the federal poverty level for your family size or lower. See the ConnectorCare Upper Income Limits table.
  • The Health Connector counts:
    • your federal taxable income for the year, and
    • some income like your social security income, even if it is not taxable.
    • Your family size is based on the people you include on your federal tax return.
  • See more about the ways the Connector counts income and family size
• You must be unable to qualify for other kinds of health coverage like:
  • Premium-free Medicare Part A,
  • Any kind of MassHealth, except MassHealth Limited, or
  • Insurance you can get through your employer that ConnectorCare counts as affordable.
  • See more about how other kinds of health coverage may affect your eligibility for ConnectorCare
• You must agree to file a federal tax return for the year in which you get ConnectorCare.
  • Even if you don’t make enough money to have to file taxes, you must file a tax return to get the “tax credit” that the government uses to pay for your ConnectorCare HMO.
  • See more about ConnectorCare and tax filing
• If you are married, and will file taxes as “married filing separately” you will only qualify for ConnectorCare if you need to file separately because of abuse or abandonment.
• You must enroll in one of the HMOs that offer ConnectorCare plans:
  1. Choose an HMO, and
  2. Pay any premium that is due by the 23d of the month so you can start coverage on the 1st of the next month.
     You must enroll during “open enrollment” from Nov. 1, 2019 to Jan. 23, 2020 or
     within 60 days from the date you get letter that says you can enroll in ConnectorCare.
• If you miss the enrollment deadline, you have to show the Connector that you qualify for a “special enrollment period.” See more about special enrollment periods in the ConnectorCare Advocacy Guide.