We had a mom come in about her 3mo old newborn. Needed to change MCO plans. My counselor called Cust Service and they said they had to wait until the end of the year. I had her call back and get someone else. He also told her she did not have a qualifying reason. I […]
Today I had a client come in with a new letter… Dated 4/18.. “We noticed you have two applications active” Please tell us which one is correct. That was a first for me… The letter showed her with a Connector plan for 83.00 and a QHP for 143.00 Both with a start date of 2/1. […]
Has anyone else had problems with sending Faxes to Masshealth? We have has several instances where they say they only received part of the fax. My machine shows how many pages transmitted, yet they say they are missing several pages. Odd. We don’t have this issue faxing anywhere except MH.
We had a client today that has been on Commonhealth for years. She is now 66 and was terminated and put on HSN partial. Called MH over 65 and was told she was over ASSET. They stated that she can be over income, but not over asset now. My Fin Counselor called under 65 unit […]
Anyone know what is going on with all the Delta Dental Cards people are getting all of a sudden? People have shown me cards and they have the persons name and Tooth Fairy on it… People that have not signed up for Dental.
Hi… We have faxed verification’s dating back to December that are still not logged in. I called today and they said Taunton is backed up for “weeks”. This is a huge problem for documents that need to be received by a certain date, at least those cases will pend if it received. I have 2 […]
We are having problems with the Health Connector… Clients that go from the Connector to Medicare. When they call to cancel, if they havent paid the premium and we tell them they have Medicare now, its fine. I have had 2 clients this week that paid the premium for the same month they got Medicare […]
We are back to total frustration with Commonhealth over 65 population. When we call, we are still bounced between over/under 65 units. Last week, I read the slide from Aprils MTF stating that Under 65 is supposed to process ALL working disabled regardless of age. They still disagreed with me. They are getting Senior Reviews, […]
Hi… I have a 65yr old client, on her husbands Employer plan and has Medicare A. She is also getting premium assistance. Suddenly, she is no longer getting her prescription copays subsidized by Masshealth. I’ve gotten several different answers. The TPL unit said that by having commercial insurance and premium assistance it is considered “double dipping”. […]