There are many good things about moving to Mass. And while getting high-quality healthcare may not be as fun as spending a day at the beach, it’s essential to keep that in mind when making a move. Here’s our guide to what you need to know.

What type of healthcare system does Mass have?

Massachusetts has a universal public health care system: all Mass residents are entitled to health care subsidised by the government organisation. About half the country has private health insurance in addition to this.

They cover a large proportion of basic costs, although it is not always provided in advance – it may have to be paid for, and money-back claimed. 

You may decide to purchase group health insurance to have a broader range of available healthcare options.

Finding out whether private health insurance is likely to benefit your health and financial situation, and learning about the different types available, can help you make a decision.

What is private health insurance, and how does it work?

Patients with private health insurance will be handled as if they were private patients. You can also pay for treatments that some policies don’t cover, like physical therapy, dentistry, and optical (vision treatment).

For example, with private health insurance, you may choose your doctor, receive treatment in a private hospital, or as a private patient in a public hospital. In some situations, it may mean they treat you faster.

If you want private health insurance, you must purchase a policy from a registered health insurer and pay regular premiums to stay covered.

It is not necessary to have private health insurance. All Massachusetts residents have access to health care through our services. No indication having private health insurance improves your health or hires better physicians and nurses.

You will probably have to pay a “gap” fee. This is the difference between the doctor charges and the combined coverage provided by the policy company and your health insurer.

Where to get affordable insurance

Check out the state’s health insurance website, Massachusetts Health Connector, known throughout the state. It is a state agency that assists Massachusetts residents in obtaining adequate health insurance coverage to escape the state’s health insurance penalty.

And Mark Feldman provides low-cost and other plans that meet minimum coverage requirements and are approved by the state for quality and affordability.

Limits to tax penalties

You must pay any penalties due to lack of insurance when you file your Massachusetts income tax return. By law, penalty amounts cannot exceed 50% of the least expensive monthly insurance premium you would have qualified for through the company. Still, each month, the penalty is imposed that you do not have coverage during the tax year. 

A gap in insurance coverage of three consecutive months or less is not penalised.

Each year, the state sets affordability standards that determine whether individuals and families can afford health insurance based on their income. You are not subject to the Massachusetts health insurance penalty if you cannot afford health insurance according to these standards. This provision generally covers those with incomes equal to or less than 150% of the federal poverty level.

You can appeal the fine.

Massachusetts provides an appeal process if you are fined but couldn’t get coverage. Usually, this means that you had a hardship, which may include:

  • Abandonment
  • Eviction
  • Mortgage’s trial
  • Domestic violence
  • Death of a spouse or family member
  • Other difficulties may also qualify. 
  • The state provides a complete list on its website.

The fine will not be charged while your appeal is pending.

Religious belief exemption

A religious exemption is available to anyone whose faith provides a basis for not purchasing health insurance coverage but could still be subject to a penalty if you claim a religious exemption and received medical care during the tax year. It is determined that there could be health insurance provided. Preventive dental care, immunisations, and physical exams required by your employer are not considered medical care for this exemption.