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CMSP Federal Poverty Levels

MassHealth determines your Federal Poverty Level (FPL) with the income information provided on your application.  Below are the FPLs used to determine your premiums and co-payment amounts.  If you think you fall into a different FPL than the one you are now in, please update your income with the MassHealth Enrollment Center nearest you (below) or call 1-888-865-9993.
    Revere MEC
    300 Ocean Avenue
    Suite 4000
    Revere, MA 02151

    Taunton MEC
    21 Spring Street
    Suite 4
    Taunton, MA 02780

    Springfield MEC
    333 Bridge Street
    Springfield, MA 01103

    Tewksbury MEC
    367 East Street
    Tewksbury, MA 01876



    CMSP
    Premium and Copayment Chart

    Monthly Premiums

0-199.9% FPL
200.0-300.9% FPL
301.0-400.0%FPL 400.1% and above FPL

$0

$7.80 per child/max $23.40 per family

$33.14 per family

$38.99 per child

Copayments*
Medical (non-preventive)
$2
$5
$5
$8
Dental
$2
$4
$4
$6
Pharmacy

$3 for each generic drug, $4 for each brand name drug


*Only one copay is required per day for medical visits.

This chart is provided as a guide only as more factors are used to determine your premium amount each month. If you have questions about your CMSP premiums, contact MassHealth Customer Service at 1-800-841-2900.

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