Letterhead Fax

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Fax or Mail Information for Health Connector or MassHealth Type of Document Where to Send » New paper applications for subsidized (assistance with paying) health coverage, including Health Connector (ConnectorCare plans and those seeking premium tax credits), MassHealth, or HSN coverage » Eligibility verification documents for MassHealth and the Health Connector » MassHealth Renewal forms Subsidized applications and verifications for eligibility should be sent to: » New paper applications for unsubsidized (no assistance with paying) health insurance through the Health Connector » Closed Enrollment verification for Health Connector plan Unsubsidized applications and verifications for IDP and Closed Enrollment should be sent to: Massachusetts Health Connector 133 Portland Street, 1st Floor Boston, MA 02114-1707 Fax: 617-887-8745 » MassHealth Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) and Supplement A + Buy-In applications These applications should be sent to: Central Processing Unit P.O..

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