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Get Senior Medical Benefit Request Ma Form

Before you fill out the application. Dear Applicant: This is your application for MassHealth and the Health Safety Net* if you live in Massachusetts and: are aged 65 or older and living at home; are any age and need long-term-care services in a medical institution; are eligible under certain programs to get long-term-care services to live at home; or are a member of a married couple living with your spouse and both you and your spouse are applying for MassHealth; and there are no childr.

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