A:Press 1 for English, must choose option 1-3, don't press anything, just hold on the line until you are transferred.Our free phone can also navigate phone menus to get a live human at MassHealth for you.
Q:
Does MassHealth offer 24 hour customer service?
A:Not at this number; hours here are Mon-Fri 8am-5pm EST.The least busy day is Thursday, and the most busy day is Monday.If the call center is closed, you can schedule a call.
Q:
How long will I wait on hold?
A:The average hold time is 26 minutes.The longest hold times are on Thursday, and the shortest are on Friday.You can skip the hold time for free.
How do I get through the phone menu to a live person?
Consider using our free service that calls and talks to customer service for you, then sends you a report. Or use our free service that waits on hold and tells you when a human rep is on the line. But if those options don't appeal to you, our team has also documented the phone menu for MassHealth below.
Our AI powered phone can dial, navigate the phone menu, wait on hold, and even talk to customer service for you, for free. You don't even need to learn about the path through the various phone options.
That same, free GetHuman Phone can call and navigate the menus and wait on hold for you, but you can opt to do all the talking. We notify you when a rep is on the line and ready to talk, so no need to worry about changing menu options and weaving your way through the maze.
Of course, we completely understand if you prefer to do all the dialing, waiting, and talking yourself. All of these free tools are optional.
GetHuman researchers routinely call this MassHealth phone number to document the phone system.
Here is how our research team describes the way the MassHealth phone system greets you: Members, press 1. Providers or nursing facility, press 2.
Here is our latest tip for weaving through the phone menu to get to a real person the fastest:Press 1 for English, must choose option 1-3, don't press anything, just hold on the line until you are transferred.
What are the hours and when should I call?
MassHealth operates the call center for this 855-781-9898 phone number Mon-Fri 8am-5pm ET.The short answer is that you should call on a Thursday.This observation and the following section are based on analysis of a sample set of 8,382 calls made in the last 90 days using our free, web-based phone (see above).
When you use our free AI-powered phone to call and talk, wait on hold, or navigate for you, it will automatically wait until the MassHealth call center opens before trying to call. It will ask your permission before it places the call, so you can also further delay that scheduled call until you are ready. But that means you can "set it and forget it" ahead of time.
An important note: busy times vs hold times vs best time to call
When we refer to busy or less busy times, we are talking about the volume of calls. The busiest times are when the most people are calling this MassHealth phone number (least busy times have fewer people calling). This high call volume does not necessarily mean that you will have a long hold time when you call. Companies like MassHealth staff their call centers differently based on the time of day and day of the week, so you may experience a shorter wait on hold at the busiest of times. When we refer to the best time to call, we are referring to the optimal combination of lower call volume and shorter wait times.
The least busy time to call
The least busy day to call MassHealth is Thursday.The most busy day to call is Monday.Again, this is based on a sample of 8,382 calls made with our AI-powered, web-based phone in the last 90 days.
The shortest wait on hold
We measured the shortest hold times to be on Friday.The longest wait in the queue on average occurs on Thursday.
In summation, the best day to call MassHealth is Thursday.This is not the day with the shortest wait on hold in the phone system, but we still recommend it for its ideal combination of low call volume and short hold times. Plus we believe that MassHealth staffs the call center well on Thursday.
Calling this number was totally ineffective if you aren't already a customer of MassHealth or a prescribing physician. When I called, I was taken into the automated system and asked if I was a customer or a physician. I said customer, and I was asked to either provide my MassHealth account number by pressing 1 or my Social Security number by pressing 2.
Without having either, I tried to say that I didn't have either one, but the system only repeated its request. I tried to enter an invalid entry by pressing another button, but once again, the system simply repeated its request. With no way out of this infinite loop, as the system just kept repeating itself no matter what I did, I ultimately hung up.
Calling after hours gives a slightly different experience, as the offices are closed and you can't speak to anyone. Calling on a weekend gives you a different message where you're taken to the automated menu and can access health records by entering the patient's date of birth. However, as you're still asked to enter sensitive information that many people would not want to make public, it's still not very effective if you aren't already a customer.
Based on this experience, I'd only use this number if I was an existing customer or physician. You can't use it to get information, so if you aren't already in the system, it's useless to you.
Adam has been tirelessly trying to help customers find the best tips and tricks to get through phone trees and writing many guides for prickly customer service problems. He's been featured in the Wall Street Journal, Inside Edition and Bloomberg.
Why Customers Call MassHealth
If you have time to do a bit of reading before you call MassHealth, we recommend you read over some of our problem-specific articles.
MassHealth provides a broad range of medical services to eligible Massachusetts residents. These services include doctor visits, hospital stays, emergency care, and preventive screenings. MassHealth covers prescription drugs, lab tests, X-rays, and necessary surgeries. Behavioral and mental health services, including counseling and substance abuse treatment, are also covered. Additionally, MassHealth provides coverage for dental care, vision care, and audiology services. The program supports long-term care, such as nursing home and home health services, as well as rehabilitative services, physical therapy, and medical equipment. MassHealth covers family planning services, including contraceptives, and offers maternity and newborn care. Specialized programs are available for children with disabilities and individuals needing assistance with personal care. While the scope of services covered is extensive, certain limitations and restrictions may apply, so it is advisable to consult the current MassHealth guidelines for specific coverage details.
The income limits to qualify for MassHealth depend on various factors such as family size and type of coverage sought. As of 2021, for the MassHealth Standard and CommonHealth programs, individuals with a family size of one can have a monthly income of up to $1,073, while a family of two can have up to $1,452. For families with children under 19, certain income limits apply based on the percentage of the federal poverty level (FPL). For example, a family of three can have a maximum monthly income of $2,350 (100% FPL) or $5,700 (250% FPL) to qualify. The MassHealth website provides detailed information on income limits for different programs and coverage types, ensuring individuals can determine eligibility accordingly.
Yes, it is possible to have both MassHealth and Medicare. MassHealth is a state program that provides healthcare coverage for low-income individuals and families in Massachusetts, while Medicare is a federal health insurance program for people who are 65 and older or have certain disabilities.
If you qualify for MassHealth and are also eligible for Medicare, you can have both coverages. MassHealth may help cover Medicare premiums, deductibles, and coinsurance, which can help reduce your out-of-pocket expenses. It can also provide additional benefits not covered by Medicare, such as dental, vision, and extended nursing home care.
To enroll in both programs, you need to apply separately for MassHealth and Medicare. It is important to understand the specific eligibility criteria and coverage options for each program. Consulting with a MassHealth representative or visiting their official website can provide you with more detailed information regarding your specific circumstances.
Click the link above to get answers to just about any MassHealth customer service question, including step by step guides for the most complex issues. You can also detail a new issue and get answers instantly.
Information about why customers call MassHealth is extracted from issues that customers have reported to GetHuman.
As a last, sometimes only, resort- MassHealth customer service can be accessed through their website. This can entail digging through help articles before finding a form and "being allowed" to submit a problem to their team, and rarely leads to a real-time conversation, which is why GetHuman does not recommend this unless it's the only way.
Conclusion and closing notes
This is MassHealth's best phone number, the real-time current wait on hold and tools for skipping right through those phone lines to get right to a MassHealth agent. This phone number is MassHealth's best phone number because 50,292 customers like you used this contact information over the last 18 months and gave us feedback. Common problems addressed by the customer care unit that answers calls to 855-781-9898 include Make a claim, Delayed claim, Get Insurance, Renew Coverage, Coverage question and other customer service issues. The MassHealth call center that you call into has employees from Massachusetts and is open Mon-Fri 8am-5pm ET according to customers. In total, MassHealth has 1 phone number. It's not always clear what is the best way to talk to MassHealth representatives, so we started compiling this information built from suggestions from the customer community. Please keep sharing your experiences so we can continue to improve this free resource.
GetHuman does not provide call center services or customer support operations for MassHealth. The two organizations are not related. GetHuman builds free tools and shares information to help customers of companies like MassHealth. For large companies that includes tools such as our GetHuman Phone, which allows you to call a company but skip the part where you wait on the line to get a live human rep. We continue to work on these tools to help customers like you (and ourselves!) navigate the messy phone menus, hold times, and confusion with customer service. As long as you keep sharing it with your friends and loved ones, we'll keep doing it.