Is there a list of the cities, by regions? I have the map with all the regions and costs per plan, per region, but I’m looking for a listing of the cities and towns that are included in a specific region.
A client of mine is trying to decide on what plan to choose. She has numerous medical issues and has two specific criteria: She wants to keep the PCP she has AND she has specialty drugs that she needs covered. The PCP part is no problem. However, she states that when she contacts the plans […]
I have a client that has HSN as a secondary and hasn’t received a letter of renewal. Last renewal was done July of 2015. Does anyone know if this is to be expected?
Family of 4. Husband and wife have been separated for 2 years. Live in separate households. They have 50/50 custody of 2 minor children. They filed joint tax return last year. They expect to be legally divorced by end of this year and file separate taxes. How do I break down what minors go with […]
Is there a way for members to select their plan on line through their application on the Connector?
Married Couple. Both under 65. Spouse is disabled and on SSDI. She is coverage under Medicare A&B. Wants to apply for MH Commonhealth as a supplement. HOH and spouse both have Harvard Pilgrim as well. Do I file one MBR + Adult Disability Supplement OR do I file two separate MBR’s; one for each with a Adult Disability […]
Have a patient with mental health issues in the ER. She is from Mississippi and was up here on a work assignment for a temp agency. No insurance. No income. No family in Massachusetts. I have assisted her in a medicaid application for Mississippi. After 5 days she isn’t fit to travel home. Is there […]
Patient has private health insurance as primary coverage. Has MassHealth Commonhealth as a 2ndary. The provider is telling the patient that although he is a provider to the primary insurance, he isn’t a provider to MH Commonhealth and that the patient will be balanced bill. Is the info the provider is giving to the member […]
Child is 7 years old. Has a behavior problem. Family size of 4. Household income is $144,000. Family has health insurance through an employer. Employer pays 90% of the monthly premium. They are seeking to get their disabled child Commonhealth as a 2ndary . They have been approved with a premium of $460 per month. They […]
I have a family who filed a disability supplement for their child. The DES informed the HOH that the app was approved under Code 110. Does anyone know what that means?