What is a MassHealth copayment?
A MassHealth copayment is the amount that a MassHealth member pays for certain services. Effective February 1, 2004, MassHealth is changing its member copayment rules for pharmacy and non-pharmacy-related services. Pharmacy copayments Effective February 1, 2004, MassHealth pharmacy copayments for pharmacy services covered under MassHealth, which include both first-time prescriptions and refills, are: • $1 for generic drugs and over-the-counter drugs; and • $3 for brand-name drugs. Non-pharmacy (hospital) copayments Effective February 1, 2004, the MassHealth copayments for the following hospital services apply, unless the member is excluded from the copayment requirement: • $3 for acute inpatient hospital stays.
