How Do I Use My Benefits?

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How do I find a doctor who accepts MassHealth?

How do I find a dentist who accepts MassHealth?

Where can I get eyeglasses with MassHealth?

Where can I get smoking cessation services?

Where can I get mental health and substance abuse services?

How can I check my benefits online?

How do I get a new MassHealth card?

How do I give MassHealth permission to share my information?

How do I find a doctor who accepts MassHealth?

There are several ways to find a MassHealth doctor in your area:

• Call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648)

• Speak to a MassHealth Benefits Advisor at a community health center (CHC). To find a CHC in your area, use the Find a Health Center search tool on the Massachusetts League of Community Health Centers web site. 

• If you are a member of a MassHealth MCO (Managed Care Organization), call your health plan for a referral. For MCO information, see MassHealth MCO Managed Care Health Plans.

How do I find a dentist who accepts MassHealth?

You can find a dentist who accepts MassHealth using "Find a Dental Provider" search tool on the MassHealth web site:

• Find a Dental Provider

You can also call the MassHealth Dental Customer Service Center at 1-800-207-5019 (TTY: 1-800-466-7566). If you are enrolled in a MassHealth MCO, you can call your health plan for a referral. For MCO information, see MassHealth MCO Managed Care Health Plans.

When you call to make an appointment, be sure to ask if the dentist is accepting new MassHealth patients.

Some dental services, such as orthodontics, require prior authorization. Your dental provider must contact the MassHealth Dental Third Party Administrator at 1-800-207-5019 for approval of these services.

Where can I get eyeglasses with MassHealth?

To find an optician who accepts MassHealth for eyeglasses, call the MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-800-497-4648).

If you are enrolled in a MassHealth MCO, call your health plan for a referral. For MCO information, see MassHealth MCO Managed Care Health Plans.

You can also call opticians in your area and ask if they accept MassHealth insurance for eyeglasses. In general, the large vision center chain stores and the optical shops at major department stores do not accept MassHealth. You should try calling some of the small private opticians in your area.

You must choose your eyeglass frames from a special group of frames for MassHealth customers.

Where can I get smoking cessation services?

Smoking cessation services are services to help you stop smoking. MassHealth pays for these services if they are provided by a MassHealth physician, registered nurse, physician's assistant, nurse practitioner, nurse midwife, or certified tobacco cessation counselor.

You can have a maximum of 16 individual or group counseling sessions and up to two regimens of nicotine replacement therapy (patch, gum, or lozenge) per year. You must get prior authorization for extra sessions or other medications.

To find a smoking cessation program in your area that accepts MassHealth:

• Ask your primary care physician or other health care provider

• Call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648)

• Get a referral from the Tobacco-Free Helpline at trytostop.org:

  • English: 1-800-TRY-TO-STOP (800-879-8678)
  • Spanish: 1-800-8-DEJALO (800-833-5256)
  • TTY: 1-800-TDD-1477 (800-833-1477)

• Call your local Massachusetts Tobacco Control Program (MCTP). For a list of programs, see Local Tobacco Control Programs on the Department of Public Health web site.

• If you are enrolled in a MassHealth MCO, call your health plan for a referral. For MCO information, see MassHealth MCO Managed Care Health Plans.

For more information, see MassHealth Tobacco Cessation Benefits on the MassHealth web site.

Where can I get mental health and substance abuse services?

For information about mental health and substance abuse treatment services, including behavioral health services for children, see:

• MassHealth Mental Health and Substance Abuse Treatment: Behavioral Health Services

How can I check my benefits online?

You can check your MassHealth benefits and account information on the My Account Page (MAP) of DTA's Virtual Gateway. To use MAP, you must be the head of household (the person who signed up for benefits).

• To register for an account: Virtual Gateway: Setting Up Your Account
  You must enter your name, date of birth, and e-mail address to set up your account.
   
• To log in if you already have an account: Virtual Gateway User Login
  You must enter your username, password, date of birth, Social Security number, zip code, and EBT number to access your account.

For more information about the My Account Page (MAP), see:

• My Account Page Help
• Overview of My Account Page
• My Account Page Frequently Asked Questions
• or call Virtual Gateway Customer Service at 800-421-0938 (TTY: 617-988-3301), Monday through Friday, 8:30 AM to 5:00 PM.

How do I get a new MassHealth card?

If you need a new MassHealth card, call the MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-800-497-4648) or the MassHealth Enrollment Center at 1-888-665-9993 (TTY: 1-888-665-9997). You will need your old card number or your Social Security number when you call.

MassHealth will send you a new card in about a week. Your card will have a new number. If you need medicine or health services right away, MassHealth will give you a temporary number that you can use.

How do I give MassHealth permission to share my information?

You must give written permission if you want MassHealth to discuss your information with a family member, friend, or someone else. You must fill out the Permission to Share Information Form and send it to the MassHealth Enrollment Center. The address is listed on the form.

You may cancel your permission at any time by sending a letter to:

MassHealth
Privacy and Security Office
600 Washington Street
Boston, MA 02111