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Massachusetts

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To understand the strategies that states undertake to expand coverage and initiate broader health reform, it is important to recognize the variability in states’ health coverage distribution, employer-sponsored insurance rates, and public program eligibility levels. The charts below highlight certain aspects of Massachusetts' coverage landscape. The graphs also provide a comparison to national data to give a sense of how Massachusetts is faring.

For more information on specific coverage programs implemented in this state, please click on the ‘Coverage Strategies’ tab. 
 

Overview of Medicaid and SCHIP Coverage[1]

Group
Income Eligibility
Children[2]
200% FPL (ages 0-1)
150% FPL (ages 1-19)
300% FPL (SCHIP)
Pregnant Women
200% FPL
Parents
133% FPL
Childless Adults (long-term unemployed)
100% FPL
Adults (state-only program)
100-300% FPL (sliding scale premium)
SSI Disabled
74% FPL
 

Sources of Health Insurance Coverage State Data 2006 – 2007, U.S.[3]

 
 

Percentage of Private-Sector Establishments That Offer Health Insurance Based on Firm Size by State, 2006[4]

 

 

 

[1]This overview provides a general description of state coverage levels under their Medicaid and SCHIP programs, including coverage through waivers, as of December 2008. Eligibility information was gathered from state web sites, data from state reports, and verified through contacts with CMS and state officials during the fall of 2008. This does not reflect the specific eligibility categories or requirements. This is not intended to be a substitute for eligibility information provided by each state. Individuals interested in applying for these programs should contact the state directly for specific eligibility requirements.
[2]Medicaid eligibility based on children’s family income levels is listed by age group. For states with additional SCHIP eligibility for higher income levels, SCHIP income level eligibility information is presented separately.
[3]Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau’s March 2007 and 2008 Current Population Survey.
[4]Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2006 Medical Expenditure Panel Survey-Insurance Component.