Hi, I have a client who just turned 65 and enrolled in Medicare. He was previously on MassHealth CarePlus. The CarePlus followed him as a secondary to his Medicare. The client emailed me that he went for a doctor’s appointment and his specialist told him his MassHealth is inactive. I called an spoke with a […]
Hi fellow Navigators, My name is Buliah Mae, Lead Navigator for the Hilltown Community Health Centers. Our three-person team is currently considering new ways to track our monthly report data and are interested in how other health centers do this. What are the pros and cons? Is the program web based? Is the program customized […]
Happy 2022 everyone. I have a question regarding a client who is 62 years of age who wants to apply for CommonHealth. Her spouse is 66 years of age. Here are some facts: The couple have an active application via the Health Connector. Both are currently enrolled in a CC plan. The wife has Medicare […]
Hello We have had luck changing patients who are locked into their plans by explaining that they have been our patients for a long period of time and this is used as the “exception”. Recently, patients who move and are assigned a plan close to their new homes are not being changed back to their […]
Hello, Now that we are in OE, there is a bit more urgency to having verification documents processed. We have noticed that some documents uploaded in Sept/Oct are still outstanding. Cases have been created to process them more quickly, but even that isn’t happening. Does anyone have insight on what is happening behind the scenes […]
I have 2 members searching the “Health Connector” coverage for help paying with IVF. I am having a hard time locating a plan or benefits. Does anyone know of a plan? Member 1 – Has MassHealth but since they will not cover IVF would like to purchase a “Health Connector” plan and are okay with […]
We got a call from a grandparent whose child passed away very recently leaving 3 children of their own, and all 4 members of the family were (well, are currently) on MH Standard. The deceased person is the HOH on the application and there are no other adults. The grandparent has 90 day guardianship of […]
Just reviewing the information about Next Renewal Date and it’s unclear as to what triggers these renewal dates. After looking at 3 different accounts, they all have renewal dates of “August 16, 2021” Is there a clearer reason for what determines the renewal date?
Urgent Coverage Alert for Dually Eligible MassHealth Members –July 19, 2021 Over the fourth of July weekend, MassHealth ended COVID continuous coverage protections for elderly & disabled individuals who are dually eligible for MassHealth and Medicare and who — are no longer eligible for their current MassHealth coverage, are eligible for Medicare Savings Programs also known […]
Hello Loopers! Do CACs have to call The Connector to report past unemployment income for a patient who is currently back to work? Or is there a question in the online application asking if the patient previously received unemployment during 2021? I know I read the question was coming soon, but I am not sure […]