Eligibility

(1) A Member of the Plan must be a Resident of the Commonwealth who is not eligible for MassHealth and: (a) 1. is 65 years of age or older and is not eligible for Medicare; or 2. is 65 years of age or older and is eligible for Medicare and has Gross Household Income less than or equal to 500% of the poverty guidelines updated periodically in the Federal Register by the U.S. Department of Health and Human Services; or (b) has a Gross Annual Household Income less than or equal to 188% of the Federal Poverty Level, does not work more than 40 hours per month and meets: 1. the disability requirement of the CommonHealth program as referenced under M.G.L. c. 118E, § 9A(2)(h), notwithstanding the income eligibility requirements under M.G.L. c. 118E, § 9A(2)(h); or 2. the disability requirements of the CommonHealth program as referenced under M.G.L. c. 118E, § 16, notwithstanding the income eligibility requirement under M.G.L. c. 118E, §9A(2)(h); or 3. the disability requirements of the CommonHealth program as referenced under M.G.L. c. 118E, § 16A. (2) The Plan may require verification or re-verification of any eligibility requirement at any time. (3) Beginning January 1, 2006, in order to be eligible for the Plan, individuals who are eligible for Medicare must be enrolled in a Medicare Part D Plan.