Hi, How do you protect a domestic violence MassHealth case when the MassHealth member still has access to outside insurance provided by the abuser? Obviously, any services billed to the abuser’s insurance will be accessible to see by the abuser. I am calling TPL to see if they know, but would like more advice. Thanks, […]
Hi, I have a MassHealth member who attempted to call 3rd Party Liability to clear up an old health insurance listed on his case. He called a number of times attempting to get through, but each time he was thrown over to an answering machine stating that the mailbox was full and they were not […]
Hi, I had a small fight with a MassHealth CSR about reporting 2016 income today. The MassHealth CSR proceeded to tell me that I could not update 2016 yearly income because the client was not seasonally employed. I walked the CSR through updating current monthly income, then attempted to get him to change total income […]
Hi, I ran into this again late last week. MassHealth CSR is still telling consumers over 400% FPL that they are not eligible for any coverage. Have others run into this too? Obviously, anyone eligible with a qualifying event outside open enrollment has the opportunity to purchase coverage. I have no idea why MassHealth CSR […]
Hi, Out here in Franklin County, we get many people who have questions about Employer Sponsored Insurance/COBRA. Many try to pick up coverage even though they elected not to take their ESI. I continue to run into these folks who believe they can shop for coverage through the Health Connector. I usually submit an application […]
Hi, I just had a MassHealth member that was terminated for coverage even though there was record of verifying documents being sent. Those documents were never processed. The documents in questions arrived last year in April, but termination happened 1/28/16. It turns out the docs sent were not completely correct, but they were still not […]
Hi, I had MassHealth Enrollment Center Representative Emma at 9:30am this morning. We were hoping to continue work on an application that had already been started. Emma said we couldn’t start work on an existing application because they didn’t have an application signature page on file. Finally she mentioned that she could transfer us to […]
Hi, I had a veteran in my office today. He attempted to obtain a VA ID using his DD Form 214 and was denied access to health coverage at his local clinic in Greenfield. Does he still have access to VA Healthcare Programs? Is he eligible for VA Healthcare Programs? He is a Vietnam Veteran […]
Hi, I have a consumer calling me about their tax documents received. This consumer continued on MassHealth Temporary Coverage for all of 2015 (coverage that should have been shut off when he submitted an application in January 2015). He also had a QHP through the Health Connector for that same time period. When he goes […]
Hi, I have had a number of people confused by the new payment portal. Consumers enter into the payment site and their pre-populated enrollment is placed on the screen in a spreadsheet display. Consumers transitioning from 2015 to 2016 coverage see their last year’s enrollment and payment amount. Consumers don’t realize they have to click […]