Hi, So…the good news and the bad news. The higher income guidelines for adult-only households are almost always a great deal for these households. What I have noticed is that for families with children, they are often paying MORE than their former QHP-APTC plans. Obviously the adults will have way lower out-of-pocket expenses since they […]
I have a client who has WellSense. There are only handful of primary care practices here on the Vineyard and only one takes either WellSense or PCC plan for MassHealth members. However, WellSense is not affiliated with Martha’s Vineyard Hospital (apparently it’s the same for PCC), the only provider on the island that does most […]
I did some applications yesterday afternoon — February 23. All of the members enrolled and paid their premiums but the start date is listed as April 1 instead of March 1 (all of these people are losing ESI on 2/28). I called HC Customer Service and all the CSR could tell me was “it’s the […]
Hi, I have a client who is transgender and has not legally changed their name yet. However they use a different name than that on their social security card. I was able to use their *new* name on the application and list their old name (deadname) on the application under the “is this the name […]
Hi, I have a client who has SSI and Medicare, with MassHealth Standard as secondary coverage. She is having trouble accessing a 28-day inpatient substance use disorder treatment program because she was told that Medicare does not cover the program and she can’t use the MassHealth…? If you have any insight or information I would […]
I have a client who had a medical emergency in Maine last year. She has gone back and forth between MassHealth and the hospital in Maine. MassHealth states that unless the hospital is enrolled as a MassHealth provider, they won’t pay the claim. The hospital states that they “will not” enroll as a MassHealth provider […]
It seems that Macs and Safari are incompatible with HIX. There is no information stating this on the HIX website. Members end up baffled and frustrated when they can’t do applications, make payments, etc due to the incompatible browser issue. Shouldn’t this be made clear so folx don’t lose their minds when this happens?
Hi, People who are receiving unemployment will get an additional weekly amount after MA DUA operationalizes the CARES Act $$. Will this additional income impact MassHealth and ConnectorCare members? I am concerned that they will lose MassHealth and or ConnectorCare due to the additional income. Thanks, Sarah
Allways Health Partners is mailing a letter to ConnectorCare members with the headline “This is your termination of coverage notice”. It states “Dear So & So: We have been notified that your current Allways Health Partners contract has been or will be terminated for the following member on the Termination Date specified below” : 12/31/2019. I […]
I have a client who has ConnectorCare and who works for Stop and Shop and was just on strike. Is there any premium relief for a striking worker? Sarah