MassHealth Medicaid

_{The benefits above do not reflect all MassHealth benefits available through your plan. You must visit healthcare providers that partner with WellSense (also called in-network providers).}

MassHealth is a Medicaid plan available to qualifying Massachusetts residents. MassHealth members don’t pay monthly fees or deductibles. Plus, depending on your age, income and health, you may not have to pay anything—or just a small fee—for your prescriptions^†.

Managed Care Organization (MCO)
We work with providers across the state to offer MassHealth to our members through our WellSense Essential MCO. The MCO has its own provider network that includes primary care providers, specialists, behavioral health providers, and hospitals.

Accountable Care Organizations (ACO)
We partner closely with key providers throughout the state to offer eight unique plans that provide coordinated care to our members. Membership in these plans is based on your primary care provider.

_{†Starting May 1, 2023, MassHealth will temporarily suspend (or pause) copays for all members. Copays for all drugs will be $0 for a period of time.}

_{Please see the MassHealth Member Handbook and MassHealth Covered Services List for additional information, including which benefits, services and medications are covered or noncovered on our plan and any restrictions or guidelines we must follow before providing them. You can find doctors and hospitals in our network here, see our privacy policies, and learn how we make sure you get the right care at the right time with our Utilization Management policy.}