Has anyone has success in a member not taking the MassHealth Coverage and taking a Connector Care plan instead? I have a member who is protected due to the PHE. They WANT a Connector Care plan instead. I have called MA and they said, call the Health Connector. I call the Health Connector and they […]
I have a client that is over 65 – Needs Long Term Care. He currently has the Senior Buy In. Do we need to do another SACA with supplement A to obtain Long Term Care OR can the nursing home to a SC1 form and convert it over? I have been told different things.
I am having a brain freeze. I have a client that is signing up for a “Health Connector” plan for July. Does the plan deductible go from Jan to Dec. Or would it be from July to July ? I understand that a calendar year deductible would be Jan to Dec and the plan renewal […]
I have a client over 65, She has Medicare A&B with the Senior Buy In. She has no problem getting the coinsurance and deduct paid by her Mass doctors. However, she goes to a doctor in Rhode Island, 3 times a year. They always bill her the balance after Medicare. Her Medicare summary clearly […]
I have 2 members searching the “Health Connector” coverage for help paying with IVF. I am having a hard time locating a plan or benefits. Does anyone know of a plan? Member 1 – Has MassHealth but since they will not cover IVF would like to purchase a “Health Connector” plan and are okay with […]
I have a family of 4. They qualify for a “Health Connector” plan. The enrolled into a Tufts Silver Plan for $1348.00 – I believe the FPL is 386 %. She also has Rhode Island doctors that are very important for her and wants to keep. She also received unemployment this year and it is […]
I know the rules around the Retro Coverage. It is frustrating when some workers put it through and others do not. Sometimes, it takes a couple of calls. I am seeking clarification, can we ask for retro coverage for the birth of a baby? Example: Mom is Connector Care elig on date of services, has […]
Does anyone know if the MassHealth protection was extended for another 90 days? I had 2 members call and said they received letters for MassHealth and Health Connector requesting Proof of income. 1 of the letters sounded like a Job Update Form, I have not seen a copy of the letter. But the letter stated, […]
I have been doing this for 4 years. I still feel like I learn something new everyday. (I am a CAC). Can you please review the below and let me know if I did it right or should have done something different. I updated a family of 2, Hix Application. Husband qual for CC plan […]
Hello Loopers, I have an O/65 applicant. Who needs to do a Senior Review Form. His benefit ended 3/27/20. He was working with Bristol Elders but they have not returned to help him. They are currently not seeing anyone. His friend reached out to us, if we can help. He didn’t want it to end/term […]