MassHealth Eligibility Calculator
body {
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line-height: 1.6;
color: #333;
background-color: #f4f7f6;
margin: 0;
padding: 20px;
}
.calc-container {
max-width: 800px;
margin: 40px auto;
background-color: #ffffff;
padding: 30px;
border-radius: 8px;
box-shadow: 0 4px 15px rgba(0, 0, 0, 0.1);
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.input-group select {
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.input-group input:focus,
.input-group select:focus {
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.input-group small {
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padding: 15px;
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color: white;
border: none;
border-radius: 5px;
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font-weight: bold;
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transition: background-color 0.3s ease, transform 0.2s ease;
margin-top: 10px;
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button:hover {
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transform: translateY(-2px);
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#result {
margin-top: 30px;
padding: 25px;
background-color: #eaf2f8;
border-left: 5px solid #28a745;
border-radius: 5px;
text-align: center;
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#result h3 {
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font-size: 22px;
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#result p {
font-size: 18px;
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color: #28a745;
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#result p.ineligible {
color: #dc3545;
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MassHealth Eligibility Calculator
Estimate your potential eligibility for MassHealth based on your household size and income.
Your Estimated Eligibility
Understanding MassHealth Eligibility
MassHealth is Massachusetts' Medicaid program, providing health insurance to eligible residents. Eligibility is determined by several factors, primarily household income, size, age, disability status, pregnancy, and whether the applicant has children. The program aims to ensure that all Massachusetts residents have access to essential healthcare services.
How Eligibility is Determined
MassHealth uses different eligibility categories, each with its own income limits and specific requirements. This calculator provides an estimate based on common pathways, but it's essential to remember that this is not a guarantee of coverage. Official applications and verification of documents are required for final determination.
Key Factors Considered:
- Household Size: The number of people living in the household significantly impacts income limits. Larger households generally have higher income thresholds for eligibility.
- Gross Monthly Income: This is the total income of all household members before any deductions (like taxes or health insurance premiums).
- Pregnancy: Pregnant individuals often have different, more lenient income requirements.
- Disability or Blindness: Individuals with qualifying disabilities or legal blindness may be eligible under specific pathways, sometimes with higher income limits.
- Age: Certain programs are specifically for children, adults under 65, or seniors.
- Children in the Household: The presence of children under 19 can open up eligibility pathways like the Children's Health Insurance Program (CHIP) portion of MassHealth.
Simplified Eligibility Pathways (for estimation purposes):
MassHealth has various programs, including:
- CommonHealth: For individuals with disabilities who work and may have higher incomes.
- MassHealth Family Assistance: For parents and children.
- MassHealth CarePlus: For adults aged 21-64.
- Children's Medical Security Plan (CMSP): For children and teens.
- Health Safety Net (HSN): For low-income individuals who don't qualify for MassHealth but need acute hospital care.
This calculator uses general guidelines and thresholds that are subject to change. It simulates eligibility for common adult and family pathways, considering income relative to the Federal Poverty Level (FPL) and specific program rules. For precise information, please consult the official MassHealth website or contact them directly.
Disclaimer:
This calculator is for informational purposes only and does not constitute a guarantee of MassHealth eligibility. Eligibility rules and income limits can change. For official determination, please apply directly through the MassHealth website or by contacting MassHealth customer service.
function calculateMassHealthEligibility() {
var householdSize = parseFloat(document.getElementById("householdSize").value);
var monthlyIncome = parseFloat(document.getElementById("monthlyIncome").value);
var isPregnant = document.getElementById("isPregnant").value === "yes";
var hasDisability = document.getElementById("hasDisability").value === "yes";
var isBlind = document.getElementById("isBlind").value === "yes";
var isUnder65 = document.getElementById("isUnder65").value === "yes";
var hasChildren = document.getElementById("hasChildren").value === "yes";
var resultText = "";
var detailsText = "";
// — MassHealth Income Thresholds (Approximate and subject to change) —
// These are illustrative thresholds based on Federal Poverty Level (FPL) percentages.
// Actual thresholds vary by specific program and can be updated annually.
// These are simplified for this calculator.
// Example FPL estimates for illustration (Annual amounts, then divided by 12 for monthly)
// Note: These numbers are for demonstration and may not reflect current official limits.
var fpl12Month = {
1: 14580, 2: 19720, 3: 24860, 4: 30000, 5: 35140, 6: 40280, 7: 45420, 8: 50560
};
var baseFPLMonthly = (fpl12Month[householdSize] || (fpl12Month[8] + (householdSize – 8) * 5240)) / 12;
// Simplified thresholds as a percentage of FPL for different categories
var threshold_pregnant_child = baseFPLMonthly * 2.0; // Roughly 200% FPL for pregnant individuals and children
var threshold_adult_under_65 = baseFPLMonthly * 1.38; // Roughly 138% FPL for ACA adult expansion (under 65, no disability)
var threshold_disability_blind = baseFPLMonthly * 1.66; // Roughly 166% FPL for certain disability/blindness pathways
var threshold_family_assistance = baseFPLMonthly * 2.0; // Can be around 200% FPL for families
var eligible = false;
var programType = "";
// Basic validation
if (isNaN(householdSize) || householdSize <= 0 || isNaN(monthlyIncome) || monthlyIncome < 0) {
resultText = "Please enter valid numbers for household size and income.";
detailsText = "";
} else {
// — Eligibility Logic —
if (isPregnant) {
if (monthlyIncome 0) { // Children under 19
if (monthlyIncome <= threshold_family_assistance) {
eligible = true;
programType = "Family Assistance / CHIP";
detailsText = "Eligibility likely under Family Assistance or Children's Health Insurance Program (CHIP) (up to ~200% FPL).";
}
} else if (isUnder65 && !hasDisability && !isBlind) { // ACA Adult Expansion
if (monthlyIncome <= threshold_adult_under_65) {
eligible = true;
programType = "ACA Adult";
detailsText = "Eligibility likely under the ACA Adult expansion (up to ~138% FPL).";
}
} else if (hasDisability || isBlind) { // Disability or Blindness Pathways
if (monthlyIncome threshold_adult_under_65 * 1.5) { // If income is significantly high
detailsText += " Your reported income appears higher than typical thresholds.";
}
}
if (detailsText === "") {
detailsText = "Further assessment is needed. Please consult official MassHealth resources.";
}
}
document.getElementById("eligibilityResult").innerHTML = resultText;
document.getElementById("details").innerHTML = detailsText;
// Apply styling to the result
if (resultText === "Potentially Eligible!") {
document.getElementById("result").style.borderColor = "#28a745"; // Green
document.getElementById("eligibilityResult").style.color = "#28a745";
} else {
document.getElementById("result").style.borderColor = "#dc3545"; // Red for ineligible
document.getElementById("eligibilityResult").style.color = "#dc3545";
}
}