Medicare in Massachusetts

Posted by:  :  Category: Medicare

Medicare Advantage plans and Prescription Drug Plan sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Prescription Drug Plan). Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Massachusetts Medicare Plans

Executive Office for Health and Human Services: This office oversees dual enrollment for both Medicare and Medicaid for qualifying individuals. If you’re a disabled Massachusetts resident with Medicare, you may be eligible for One Care, a state health plan that combines Medicare coverage with MassHealth (the state’s Medicaid program). One Care gives disabled Medicare beneficiaries the option to get expanded health-care coverage under MassHealth through one coordinated health plan. To be eligible, you must be between 21 and 64 years old; have Medicare Part A and Part B; and be eligible for Medicare Part D. You must also currently have MassHealth Standard or MassHealth CommonHealth. Visit for more information.

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