Potential Sources of Healthcare

The MassHealth agency is payer of last resort and pays for healthcare and related services only when no other source of payment is available, except as otherwise required by federal law. (A) Health Insurance. Every applicant and member must obtain and maintain health insurance available at no cost to the member, including, but not limited to, Medicare and insurance purchased by the MassHealth agency in accordance with 130 CMR 506.012: Premium Assistance Payments. Failure to do so may result in loss of eligibility. (B) Use of Benefits. The MassHealth agency does not pay for any healthcare and related services that are available (1) through the member’s health insurance, if any; or (2) at no cost to the member, including, but not limited to, any such services that are available through any agency of the local, state, or federal government or any entity legally obligated to provide those services.