Who Can Join?

Senior Whole Health NHC (HMO SNP) is designed for members who receive home and community-based support services because they have functional deficits. These services help persons who normally qualify for a nursing home (Nursing Home Certifiable) to remain safely at home.

You are eligible for membership in Senior Whole Health NHC (HMO SNP) if:
  • You are 65 years old or older; and
  • You have both Medicare Part A and B, and MassHealth Medicaid eligibility; and
  • You live in Bristol, Essex, Hampden, Middlesex, Norfolk, Plymouth, Suffolk or Worcester county.
You will be denied enrollment to Senior Whole Health NHC (HMO SNP) if:
  • You do not meet the eligibility criteria listed above.
  • You are diagnosed with End-Stage Renal Disease (ESRD). However, if you develop ESRD while a member of Senior Whole Health (HMO SNP), you can stay in the program.
  • You are subject to a six (6)-month deductible period (spend-down).
  • You are a resident of an intermediate care facility for the intellectually disabled.
  • You are an inpatient in a chronic disease or rehabilitation hospital.

If you are not nursing home certifiable, but meet the other enrollment requirements listed above, you may be eligble to enroll in our Senior Whole Health Special Needs Plan.

If you have MassHealth Standard, but do not have Medicare Part A and/or Part B coverage, you may be eligible to enroll in our MassHealth Senior Care Options (SCO) program.

If you do not have MassHealth Standard, and want to find out if you're eligible, please call 1-888-566-3526 (toll-free), TTY/TDD 711. Or, click here for applications and additional information.*

* By clicking on this link you will be leaving the Senior Whole Health website.

Last Updated 10/11/2019