Hi, I have a complaint. I have a consumer that paid for the months of April and May, but was on Medicare during those months retroactively. Isn’t there a law against selling a policy to someone on Medicare? Shouldn’t the Health Connector run a CMS report and take out members on Medicare from ConnectorCare? Obviously, […]
Hi, I realize it can be confusing trying to figure out which options to use in the online system when it comes to employment. Sometimes its hard to choose between self-employed and job income. Here is some additional information I feel others might be interested in: If an individual is receiving income but taxes are […]
Hi, I had a consumer in my office today seeking reimbursement for a premium paid. The household started out in Connector Care, submitting payment on 12/23/15. But on 1/7/2016 submitted a new application, determining them eligible for MassHealth. MassHealth went retroactive 10 days to the 12/28/15. She was seeking reimbursement for the January premium she […]
Hi, I called the assister line to see what needed to be done to reinstate coverage for a MassHealth member. I got a gentleman on the phone that did not sound well. I mentioned that VG didn’t have anything listed and that I realize VG isn’t always accurate. So I was calling to figure out […]
Hi, I am one of two CACs at my organization needing to go through the mandatory MassHealth Renewal presentation. We are planning to wait for the LMS presentation on April 25. I decided to look through the presentation given during the calls to familiarize myself prior to the LMS training. Is there a reason why […]
Hi, I had a consumer call me because they were going to owe back their tax credit for all 12 months. This consumer was on Connector Care Plan Type 2A (no premium). They transitioned to Employer Sponsored Insurance after in February 2015, but the consumer’s Health Connector coverage was never terminated. That means she has […]
Hi, I had a MEC representative tell me that it was better for the consumer to update their application over the phone than have me assist them with the online application process. I started the call by introducing myself and the consumer. I passed the phone to the consumer to continue the call in further […]
Hi, I had an individual who lost their job and was given a severance package. This severance included payments for COBRA coverage on behalf of the company (but it is not considered Employer Sponsored Coverage). So, the severance is more of a backdoor payment on behalf of the employee. That severance ends in August. When […]
Hi, I have an individual who claims their son as a dependent on taxes. Their son also files their own tax return because the son’s income is over $6,300 for 2016. The son is over 19. What is the best way of representing this income correctly in the application to receive the correct determination? Who […]
Hi, I just ran into a consumer who has a Form 1095 for 2015 showing 11 months of coverage. Their Minimum Credible Coverage Form 1099HC shows only 2 months of coverage from Celticare when his premium tax credit and premium that he paid did not change for those 11 months. Have others run into problems […]