Documentation needed to apply for Free Care:
- 1. Proof of Income
(Example)
· Two consecutive weeks' worth of recent pay stubs
· Letter from the employer (with company name, name and signature of your boss, how many hours you work, and your total gross; salary paid)
· Most recent tax return (if self-employed).
· Proof If you receive any other benefits or support:
(Example)
A. Letter from Social Security or SSI (award letter)
B. Child support documentation
C. Unemployment stubs
D. If you are unemployed and do not have any income, we will need a letter from the person who is financially supporting you.
- 2. Assets (Over 65 applicants only)
(Example)
· Bank checking or saving monthly statement
· Credit union monthly statement
· Life insurance monthly statement
· etc…(See your Health Benefit Counselor for more information)
If you are a …..
· Citizen bring one the following (U.S. Passport, U.S. Birth Certificate, U.S. Citizen ID)
· Legal permanent resident bring one the following (Green Card or legal proof of residency)
- 4. Identity
· MA Photo ID or Driver License,
· Government issued identity card
· School Identity Card
· Passport
· If you are applying for a child under 16, please see a Health Benefits Counselor for more information.
- If you do not bring proper documentation, you will not be able to renew or apply for financial assistance. If you have questions regarding this, please feel free to call 617-783-0500 and ask for a Health Benefit Counselor.
- Documentation Requirements for Non-Citizens