Massachusetts Health Insurance Enrollment & Coverage Information

When can I enroll?

Health plans for individuals and small groups became available July 1, 2007 and you can join at any time. Keep in mind that if you buy a plan and have had a break in your health coverage of more than 63 days, your plan may impose a pre-existing condition limitation of up to six months or a waiting period of up to four months.

Can my insurance application be denied because of my medical history?

No. Carriers CANNOT deny coverage due to your:

  • age,
  • occupation,
  • actual or expected health condition,
  • claims experience, the length of your coverage, or
  • health.

Companies MAY deny coverage for several reasons including:

  • you live outside their service area,
  • you have not paid the plan premiums or
  • you gave false information on your application or claim forms.

Companies MAY place these limits:

  • pre-existing condition limit for up to the first six months of your coverage. This means that for up to six months they will not pay for services related to a health condition that you had before you joined the plan.
  • waiting period for up to the first four months of your coverage. During the waiting period, the plan will only pay for emergency services.
  • If you had another health plan for up to 63 days before you apply for the new plan, the company must waive or reduce the time of these two limits.

YES NO


Coverage by Region Map

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