|
|
|
|
Population: 6,437,193
(Source: U.S. Census Bureau)
Uninsured: 653,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for Massachusetts health insurance policies. Click here to view our registration with the Massachusetts Office of Insurance (We're listed as HBDC). |
Massachusetts has the 22nd highest number of uninsured in the U.S.
|
Health Insurance News in Massachusetts
Buying Individual Insurance Policies in Massachusetts
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in Massachusetts:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
|
- Alcoholism
- Blood Lead Poisoning
- Bone Marrow Transplants
- Breast Reconstruction
- Cervical cancer/HPV Screening
- Clinical Trials
- Contraceptives
- Diabetic Supplies
- Emergency Services
- Hair Prostheses
- Home Health Care
- In Vitro Fertilization
- Mammogram
- Maternity
- Maternity Stay
- Mastectomy
- Mental Health General
- Mental Health Parity
- Newborn Hearing Screening
- Off-Label Drug Use
- Orthotics/Prosthetics
- PKU/Formula
- Prostate Cancer Screening
- Rehabilitation Services
- Well-Child Care
|
|
|
- Alzheimer's
- Ambulatory Surgery
- Ambulance Services
- Anti-Psychotic Drugs
- Autism
- Birthing Centers/Midwives
- Blood Products
- Bone Mass Measurements
- Cancer Medications
- Chemotherapy
- Chlamydia
- Cleft Palate
- Colorectal Cancer Screening
- Congenital Bleeding Disorders
- Dental Anesthesia
- Diabetes Self Management
- Drug Abuse Treatment
- Early Intervention Services
- Habilitative Services
- Hearing Aid
- Hospice Care
- HPV Vaccine
- Kidney Disease
- Long Term Care
- Lyme Disease
- Mastectomy Stay
- Minimum Hysterectomy Stay
- Minimum Testicular Cancer Stays
- Morbid Obesity Treatment
- Neurodevelopment Therapy
- Newborn Sickle-Cell Testing
- Ostomy Related Supplies
- Other Infertility Services
- Ovarian Cancer Screening
- Port-wine Stain Elimination
- Prescription Drugs
- Psychotic Drugs
- Second Surgical Opinion
- Smoking Cessation
- TMJ Disorders
|
|
| Mandated Covered Persons |
Non-Mandated Covered Persons |
|
- Adopted Children
- Continuation/Dependents
- Continuation/Employees
- Dependent Students
- Handicapped Dependents
- Newborns
- Domestic Partners
|
|
|
- Conversion to Non-Group
- Grandchildren
- Non-Custodial Children
|
|
| Mandated (Included) Providers |
Non-Mandated Providers |
|
- Chiropractors
- Dentists
- Nurse Anesthetists
- Nurse Midwives
- Optometrists
- Podiatrists
- Professional Counselors
- Psychiatric Nurse
- Psychologists
- Social Workers
- Speech or Hearing Therapists
|
|
|
- Acupuncturists
- Chiropodist
- Denturists
- Dieticians
- First Nurse Assistant
- Lay Midwives
- Licensed Health Professional
- Marriage Therapists
- Massage Therapists
- Naturopaths
- Nurse Practitioners
- Nurses
- Occupational Therapists
- Opticians
- Oral Surgeons
- Osteopaths
- Pain Management Specialist
- Pastoral Counselor
- Pharmacists
- Physical Therapists
- Physician Assistants
- Public or Other Facilities
|
|
Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in Massachusetts.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for Massachusetts residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across Massachusetts.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
|
|
|
|
|
