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 […]
Did anyone get an invite to register for January/February MTF meeting? I looked on the website and we do have a January meeting. For Taunton it is next week. I did not get any information to register. I registered online but did not get a confirmation back. I just want to make sure it will […]
I am assisting a couple who is self employed. Last year on their income for their business was higher. This year they really had not any income for a couple of weeks. (Business is slow). I recommend them doing a Profit and Loss Statement from January until now. It would qualify them for MassHealth coverage. […]
I have a female client, who is 63. She obtained a perm -resident card and has a social security number. She has only been in the country less than a year. She is unable to work due to cancer and a language barrier. No income. We know she doesn’t meet the 5 year bar. She […]