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If you do, make sure to complete them as soon as possible. You may receive a renewal request or letters requesting more information, before the year is over. Pay attention to any letters requesting more information. You will need to renew your HSN coverage annually. These letters generally contain an “ID” or identification number which is helpful for providers. You may want to keep any letters you receive about your eligibility for programs to show the hospital or community health center. There is no member card for Health Safety Net. Have a Modified Adjusted Gross Income (MAGI) of less than, or equal to 300% Federal Poverty Level.Complete application for financial assistance.The HSN can act as a secondary payer for eligible individuals enrolled in:Īpplications and qualifications are available on line here: Member Booklet for Health and Dental Coverage and Help Paying Costs (ACA-1). Massachusetts residents with income above 150% and equal to, or less than 300% FPL may be eligible for the Health Safety Net with a deductible.Massachusetts residents with income between 0-150% of the FPL may be eligible for the Health Safety Net.The Health Safety Net (HSN) is available to uninsured and underinsured Massachusetts residents whose family income is under a certain percentage of the Federal Poverty Level (FPL):