Do all MassHealth members have to pay a MassHealth copayment?
All MassHealth members are responsible for MassHealth copayments, unless they meet one of the exclusions. MassHealth members are excluded if they: • are under 19 years old; • are pregnant; • are within the postpartum period that extends through the last day of the second calendar month following the month in which their pregnancy ended (for example, if a member gave birth May 15, she is exempt from the copayment requirement until August 1); • are getting benefits under MassHealth Limited (emergency MassHealth); • are getting a Medicare-covered drug at a pharmacy that is a certified provider for Medicare and are getting benefits under MassHealth Senior Buy-In (MassHealth and Medicare) or under MassHealth Standard; • are an inpatient in a nursing facility, chronic-disease or rehabilitation hospital, or intermediate-care facility for the mentally retarded, or are admitted to a hospital from such a facility; • are getting hospice care; • are getting EAEDC (Emergency Aid to the Elderly, Dis
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- Do all MassHealth members have to pay a MassHealth copayment?
