Paying for Care
It can be difficult knowing where to find medical care—let alone how to pay for it. Here are a few things to know about how to pay for testing and other healthcare services in Massachusetts.
It can be difficult knowing where to find medical care—let alone how to pay for it. Here are a few things to know about how to pay for testing and other healthcare services in Massachusetts.
It can be difficult knowing where to find medical care—let alone how to pay for it. Here are a few things to know about how to pay for testing and other healthcare services in Massachusetts.
The first thing to do is check with your employer to learn if they provide health insurance as a benefit. Many companies and organizations offer low-cost health plans, which may include dental and vision plans.
If your employer doesn’t offer a plan or if you’re out of work, the Massachusetts Health Connector may be able to help. The open enrollment period typically runs from November to January, yet you can enroll in coverage any time of the year if you are applying for dental plans or if you’ve experienced a qualifying life event.
You may also be eligible for Massachusetts Medicaid, or MassHealth, which pays for healthcare for certain Massachusetts residents. The program offers healthcare benefits directly or by paying part or all of your health-insurance premiums. To learn more about the program, visit the MassHealth site.
If you are on someone else’s health insurance and you are worried about them getting billed for services, you may be able to keep your billing private. Normally, the subscriber of the plan (e.g., parent or partner) gets an insurance form about your visits. It may list the place, date, and cost of the visits.
Your insurance company may be able to send it directly to you instead. The PATCH Act, a law that protects patient confidentiality when multiple people are on the same insurance plan, makes this possible. Find out more about the PATCH Act and how it can help you maintain your privacy and confidentiality.
You can ask to have your billing information kept private when you get services like:
To ask if you can receive the insurance form directly, you must call your insurance company (use the customer service phone number on the back of your insurance card). Ask if you can receive insurance billing information directly, instead of your parent or partner. Provide any information you are asked for such as the policy number on your insurance card and the visit dates. The insurance plan will inform you if you can make this change.
Find out more about how you can request to keep your information private.
Looking for PrEP? Testing and treatment for HIV, Hep C, or STDs/STIs? Syringe exchange services? Search this interactive map of Massachusetts programs that offer these and other services at no cost to you. If you have insurance, your carrier may be billed for services, yet there will likely be no out-of-pocket costs.
The Massachusetts Pre-Exposure Prophylaxis Drug Assistance Program (PrEPDAP), helps Massachusetts residents pay for approved medications that can prevent HIV.
The Massachusetts HIV Drug Assistance Program (HDAP) also helps people living with HIV pay for health insurance (including HIV medications).
The Ryan White Dental Program (RWDP) provides oral health services to people who are living with HIV and don’t have access to comprehensive dental care. To learn more about eligibility and how to apply, visit the RWDP site or call (617) 534-2344. RWDP is a program of the Boston Public Health Commission and is available for people living with HIV throughout Massachusetts.
Search for services near you.
Take a short quiz to learn more.