I am assisting a couple who is self employed. Last year on their income for their business was higher. This year they really had not any income for a couple of weeks. (Business is slow). I recommend them doing a Profit and Loss Statement from January until now. It would qualify them for MassHealth coverage. […]
Hello Loopers! We want to hear from you about what resources would help you with your day-to-day enrollment work. Do you have ideas about materials that would be helpful? Is there a topic that you would like a deep dive into? Let us know! You can respond to this post, or email theloop@massloop.org. Hannah
I enrolled a patient into BMC on 06.24.2019. I have confirmation that it was sent. My co-worker called MH today and they are telling her that they never received it. Who can I contact to help me determine where the information went. This patient really needs to have this insurance . Mass Health has been no […]
Hi, I spoke with a gentleman today who asked this question. Both he and his wife work and have ESI via their perspective jobs. Neither want to do the family plan because it is too expensive. Can one of them select the individual plan from their job and the other select a plan through the […]
I currently have a client who is OVER 65, she obtained citizenship. However, she has not worked any quarters and does not qualify for Medicare. Her daughter is trying to enroll her in a managed care plan. MassHealth told her because she is over 65 she is not eligible for the managed care plans, she […]
Hi Loopers, Thought this issue went away and now it seems to be back again – we are seeing patients with Medicare who are given MassHealth CarePlus instead of Standard. The messages states they need to pick a plan, but of course when they call they are told they can’t pick a plan because they […]
I’m having problems when I’m choosing a plan with a member, and wanting to do a Provider Search. I am able to do the search iteself, but when it comes to “ADDING” the provider, it doesn’t allow m. Is anyone else having this issue? How can this be fixed??
If you work with individuals age 65 or older, please consider joining us April 10 in Boston for the annual Basic Benefit Training on Elder benefits. It will cover MassHealth eligibility rules for seniors in the community & in nursing faciliies, home care services from the Executive Office of Elder Affairs, Medicare benefits as well as […]
I can’t believe I am even asking this!! (LOL). When a patient is O/Income for Mass Health. (On Disability) He was told to apply for the Common Health benefit, because he is turning 65 and will loose the private health insurance coverage he has now. He will have Medicare A&B. A certain agency told […]
It would be EXTREMELY helpful if a member’s OEP was posted on EVS so Providers and CAC/Navigators would have access to this, instead of having to call for every patient who comes in with a plan NOT accepted by their PCP. This would save LOTS of time, and would help us better educate and assist […]