I have a client who currently is on hospice. He had work insurance and it ended. Him and his family qualify for MA/Standard. The Hospice place that he goes to only accepts MA/Standard. – Which he has, but when I explained he needs to enroll in a managed care plan, they said “The only plan […]
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 […]