My client had a baby in March. Her MH is ending 8/31 and HC Assister just told me she cannot enroll in HC plan although she’s gotten multiple letters telling her she needs to enroll in one, because she already has insurance. HC advice was to cancel her MH now so she can enroll for September 1. This […]
I have clients who are a family of 4: 2 adult parents, and 2 college-age young adults. Their determination, done in May, came out as follows: Household 1 = parents; 1 is Native American & 1 is not. They’re @ 482% FPL because for some unknown reason they do not declare their kids as tax […]
Hi, My client got a MassHealth termination letter stating they did not send proof of income. In fact we faxed everything in March 2015. The wife has a job so we sent 2 paystubs. They couple also had income on lines 15, 16 & 17, so we sent the 1040 with the appropriate schedules. I […]
Hi, Our clients do not have SS#s or eligible immigration status. They are trying to purchase a commercial plan form a broker. The broker says they have to have SS#s to purchase a plan. Does anyone have experience with this? Thanks, Sarah
Hi, Others may already know this, but I just discovered this info so I am sharing. We are seeing many termination letters from NHP for clients who are being switched from ConnectorCare to MassHealth Care Plus. When I check MMIS, the client shows as eligible/active with CarePlus, but as having their current (but soon-to-end) ConnectorCare health […]
Hi, My client is a single Mom who earns ~$35,000/year. She has 2 kids: A 19-year-old college student and a 15-year old. BUT (here’s the problem) her ex-husband claims both kids as tax dependents. In 2015, she & her older kids had ConnectorCare, $0 premium, the younger child has MassHealth. She recently got a letter stating that […]
Hi, We are aware of 2 recent cases with veterans who do not have access to health insurance via the military (ie Champus or Tricare) who were denied ConnectorCare because they “have access to other insurance”. They don’t have access to other insurance, just to veterans’ services at VA clinics or hospitals. I wonder if this is a […]
Hi, Does someone who has a QHP and wants to choose a new plan during OE have to do a whole new application, or can they just select a new plan for January 1? Thanks, Sarah
Hi, We have a homeless client who has no ID. Period. We were told by the Connector that he can’t apply. Is that true? Thanks, Sarah
This post is not about eligibility or systems. I am curious to know whether anyone is familiar with this claim, and if you know how accurate it is: MassHealth patients have to choose their glasses/frames from a certain limited group of frames “made by prisoners in Western Massachusetts”. One optometrist in our community always makes a […]