At the last MTF meeting, we were told about the regs change about people with income over 135% of the FPL being unable to have both CommonHealth and MSP. Letters have been going to clients about this change. The dollar amounts for the cutoff are different on the letter ($1695) from the 2024-5 income levels […]
I have a 33 year old disabled adult who lives in group home, limited income, and is a dependent on his parents’ tax returns. He’s currently applying for Social Security , but will likely be denied initially. He’s on parents’ COBRA, and we want to make sure he can apply as a household of 1 […]
I have a client who was on EAEDC and CarePlus. Was approved for SSDI (retroactively for 2 years) with Medicare and checks starting in June. We’ve submitted proof of SSDI letter and Medicare info, but he’s not showing on a cross match with Social Security database so MassHealth says they can’t enroll him in CommonHealth […]
Hi all, FYI, The auto enrollment program for OneCare is re-enrolling people even after they contact MassHealth to disenroll. I just spoke with MassHealth to disenroll a consumer for the third time in a 2 month period. I was told there’s a system glitch that re-enrolls people. Just be aware.
Hi everyone, Can someone on an ACO or MCO change her plan during Health Connector open enrollment (i.e., now)? Or can they only change plans once a year during plan selection period which I understand is the 90 days starting on the anniversary of the MassHealth enrollment? Thanks.
Hi all, I have an elderly client who does not have Medicare A or B, has limited income, but has assets (I don’t have details yet). Can I apply for non-subsidized insurance for her on the Connector? Do assets make her ineligible for Connector Care plans? If she might be eligible for the latter, do […]
I have a client who is currently married, but separated from his spouse. They are not living together at this time, though still own property together and are not legally separated. Can he apply for health insurance as a household of one or do they need to apply as a family because they are not […]
Hi all, I have a client currently on CommonHealth who’s turning 65 in June. How far in advance can we submit the SACA-2 application? Thanks.
I have a 64 year old client who’s currently working part time, on CommonHealth. At MTF, we’ve consistently been told that working disabled seniors need to fill out ACA and not SACA, and go through the under 65 MEC to be processed. I just spoke with someone at the MEC who stated that working seniors […]
I have a 24 year old client who was on CarePlus and didn’t respond to the request to update his information before the deadline. He informed me that he started working last May (never reported the change in income) and now has a gross income of $1700/month. So he missed the 60 day SEP of the change in […]