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MassHealth Flowchart Last updated: 3/30/12 PowerPoint Presentation
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MassHealth Flowchart Last updated: 3/30/12

MassHealth Flowchart Last updated: 3/30/12

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MassHealth Flowchart Last updated: 3/30/12

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  1. If the caller doesn’t have private health insurance, makes less than $50,000 a year, and is willing/able to delay her procedure by 1 to 10 days (enrollment times depend on caller’s circumstances), there should be a way for her to use public health insurance. Start here: Health Care for All HelpLine:800-272-4232 MassHealth Flowchart Last updated: 3/30/12 Do you need to prevent the primary insurance holder from finding out that you’re getting an abortion? YES You’re all set. YES Does it cover abortion? NO Do you have private health insurance? NO NO [Financial counseling] YES Abortion is completely covered when you’re on MassHealth, and HCFA can help you enroll quickly. Call HCFA and tell them you’re pregnant and were referred by EMA. Your desire for an abortion won’t affect your eligibility for health insurance. HCFA will help you fill out a MassHealth application over the phone, and they’ll probably ask you to fax them documents like pay stubs or ID. After HCFA gets your documents, it will take about 24-48 hours for you to get health insurance. Once you’ve talked with HCFA, call EMA back and let us know where things stand. If you still need funding from EMA, I’ll call you back. Your insurance company should be able to keep it confidential. Different insurance companies have different protocols for confidentiality, so call the number on the back of the card and ask to speak with someone about confidentiality. Remind everyone you speak with, both at the insurance company and at the clinic, that you wish to keep the procedure confidential, and tell them to send any mail to an alternative address. NOTE: If you are working with a caller who seems unable or unwilling to call HCFA, or if a caller reports that it will take several weeks to enroll, you can call the HCFA HelpLine on the caller’s behalf. HCFA welcomes calls of this kind from EMA volunteers. First, ask for the caller’s permission. Then ask for the spelling of her name, her date of birth, and her zip code. HCFA is open 9-5 M-F.