Am I Eligible?

Senior Whole Health offers no cost health insurance to Massachusetts seniors.

Our service area includes the following counties:

  • Bristol
  • Essex
  • Hampden
  • Middlesex
  • Norfolk
  • Plymouth
  • Suffolk
  • Worcester

 

Click on a plan below to see if you're eligible.

Senior Whole Health (HMO SNP)

Senior Whole Health (HMO SNP) is our Medicare Advantage Special Needs Plan

You may qualify if:

  • You are 65 years old or older
  • You have both Medicare Part A and Part B
  • You are eligible for MassHealth (Medicaid)
  • You live in our service area

 

 

 

Senior Whole Health NHC (HMO SNP)

Senior Whole Health NHC (HMO SNP) is a Medicare Advantage Special Needs Plan for seniors who qualify for nursing home level of care (Nursing Home Certifiable)

You may qualify if:

  • You are 65 years old or older
  • You have both Medicare Part A and Part B
  • You are eligible for MassHealth (Medicaid)
  • You receive home- and community-based support services due to functional deficits
  • You live in our service area
Senior Whole Health Senior Care Options (SCO)

Senior Whole Health SCO plan offers Medicaid, Medicare and Part D benefits to seniors with MassHealth

You may qualify if:

  • You are 65 years old or older
  • You have MassHealth (Medicaid)
  • You live in our service area
In certain situations, you will be denied enrollment in Senior Whole Health

Massachusetts seniors will be denied enrollment to Senior Whole Health of Massachusetts Senior Care Options (SCO), Medicare Advantage Special Needs (HMO SNP) or our Nursing Home Certifiable (HMO SNP) if:

  • You do not meet the eligibility criteria listed above
  • You are diagnosed with End-Stage Renal Disease (ESRD). However, if you develop ESRD while a member of Senior Whole Health of Massachusetts NHC (HMO SNP) you can stay in the program
  • You are subject to a six (6)-month deductible period (spend-down)
  • You are a resident of an intermediate care facility for the intellectually disabled
  • You are a patient in a chronic disease or rehabilitation hospital