I have a client who recently got a new set of dentures that do not fit, so he can’t use them. He has MassHealth which only pays for new dentures every 7 years. Does anyone know if he has any redress? Naturally he does not want to keep going to the practice that made the […]
From a Mass. based blog: So,My son XXX got a letter this weekend from Health Connector.which i opened,,,.saying they determined he did not qualify for Health ins through the connector,because he is deceased.,Then goes on to say,if that info changes,to let them know..but that he may now qualify for MassHealth and gives him a number to call…yep,can’t make […]
Hi, My client’s tax accountant incorrectly filed his 2015 taxes without the Form 8962. She then re-filed an amended 2015 return with the Form 8962. Also his 2016 were filed correctly. His FPL is 210%. He lost his APTC in 2017 and have been trying for months to resolve this issue. According to the HC, the […]
Hi, A question from clients who are unmarried domestic partners with a child: They only received one 1095A and both of their names & premiums are on it. But they file taxes separately, since they’re unmarried. Is the 1095A correct, if so, how does the secondary person list the information on his tax return? If […]
So, I just did a conference call to the Health Connector Assister line. My client got terminated, turns out that the HC sent several letters to his residential address instead of his PO Box (mailing address). First, the CSR just stated why he was being terminated and was ready to hang up the phone. I […]
Hi, Many clients are being terminated, reason: “You did not cooperate with MassHealth’s Quality Assurance Unit”. First of all — clients have no idea what this means, because it is not explained in the letter that MassHealth thinks the member might have access to ESI. Second, at least half of our clients tell us they never […]
We are seeing problems with the billings system (which is inadequate/flawed to begin with): – When we update apps for clients, the old billing amount remains in the portal, and depending on the amount, the client is unable to pay the “other” amount – One HC Assister told us we needed a ticket, and gave […]
Hi, We have gotten several calls from clients who have gotten letters from MassHealth stating that coverage is ending because they never renewed. But we did renewals for them in the past 6 months. Just wondering if others are seeing this or if you know why this is happening. Thanks, Sarah
Hi, I have a client with MassHealth who is having problems getting diabetic supplies since a new vendor took over the contract in August 2016. They say other patients are having the same issue. They got NO SUPPLIES in August, first order beginning Sept., next order Oct 10 – 1 week late — following order November 16 […]
Hi, So Mom & Dad are divorced, they have 4 kids, 50/50 custody, each parent claims 2 kids on taxes. Mom has ESI for everyone including her ex-husband, as mandated by their divorce agreement. Each tax household is under 300% FPL. Mom lost her Premium Assistance and needs to get it back. They each need […]