Has anyone else experienced issues with HSN 6 mos. retro coverage for Medicare and ESI enrollees? I had an elderly woman with Medicare approved for HSN last week who did not get Retro HSN (SACA2 application). I called the MH assister line and they did it manually. I had another individual with ESI, application was done last week […]
Does anyone know if Masshealth will be updating the “Enroll in a Health Plan” online information to include PCC as an option for MH careplus members? http://www.mass.gov/eohhs/consumer/insurance/enroll-in-a-health-plan/plans-available-for-members-in-masshealth-careplus.html
I am looking for some concrete information on what the process is when changes are reported. I have a few scenarios that I am looking for help with. 1) a change of income was reported and app resubmitted for determination, the income increase caused no change, did the applicant need to re-shop? We had an individual […]
If an individual was offered “Affordable” ESI and elected not to enroll and now needs medical care, is there any exception to getting ConnectorCare until the next open enrollment period? I know there is HSN available but looking for something more. I’d like some feedback as I have heard multiple opinions from CSRs indicating that: […]
Is anyone having trouble faxing to the 8300 fax line today? We haven’t been able to get a fax through since 10 am this morning. Our IT folks checked our line and we can fax and receive ok.
I just received a call from a consumer who was on MH Temp coverage with a 2/15/15 end date. She met with me on 2/12/15, completed an online app, selected her plan, enrolled, made her payment for 3/1/15 coverage. Come to find out, her MH coverage ended on 2/15/15 (she had surgery Friday). Was I […]
We are being told by SOME customer service reps at the Health Connector that even though we had an NDF signed last year it is no longer valid and we need to do one each time that we do an application. This is contrary to what (I believe) we were told in our training and what the […]
On Dec. 15 the Health Connector customer service was able to “unlock” applications so that we could go back into the application and make corrections and updates. Hooray!!!!! On Monday I had a consumer in my office and we received an unexpected determination…..fpl lower that it should have been….I assumed that I had made a […]
If I have a 20 year old college student who is looking to apply for health insurance but is on her parents taxes, does the parent who is claiming the child have to be the one completing the application on behalf of the child since the outcome could affect the parents taxes?
I am concerned about news that Connector Care eligibility and enrollments will not appear on EVS. Does anyone know what the reasoning behind this is and can anything be done about it? This will really make our work difficult.