In this case “medical or dental expenses” means: You had medical or dental expenses totaling more than 7.5% of the family group’s gross annual income, that were not subject to payment by the Health Safety Net, and were not paid by a third-party insurance, including MassHealth.You had a current shut-off notice, or were shut off, or had a current refusal to deliver essential utilities, like gas, electric, oil, water, or telephone.You were homeless, owed more than 30 days in rent or mortgage payments, or you had received a current eviction or foreclosure notice.Undue financial hardship means that when your premium was due or when you were trying to restart your benefits, that: If you’re facing an undue financial hardship, we may be able to reduce your premium payment or waive it completely. If you have trouble paying the premium, MassHealth may be able to help. You have reached your 3% premium cap in a given month and do not have to pay any more MassHealth premiums for that month.You are a former foster care child younger than 26 years old.You are a child for whom child welfare services are made available under Part B of Title IV of the Social Security Act on the basis of being a child in foster care OR are an individual of any age receiving benefits under Part E of that title.You are a child whose parent or guardian in the PBFG is eligible for a Qualified Health Plan (QHP) with Advance Premium Tax Credits (APTC) who has enrolled in and has begun paying for a QHP.

You are a child younger than age one getting MassHealth Standard.You are pregnant or have recently given birth (are in a postpartum period).You have a MassHealth MAGI household income or MassHealth Disabled Adult household income that is at or below 150% of the federal poverty level (FPL).You are American Indian or Alaska Native and are currently receiving or have ever received services at the Indian Health Service (IHS), an Indian tribe, a tribal organization, or an urban Indian organization,.

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