Hi, I worked with a household that became ineligible for MassHealth coverage. That triggered access to Employer Sponsored Insurance. Unfortunately, one household member was going through treatment at a Boston hospital and ESI didn’t cover that hospital. That household member wanted to purchase a full price plan through the health connector to retain access to […]
Hello all, We’re at the Somerville MTF and the Health Connector just made an exciting announcement about the long-awaited Assister Portal! Here are the details we just learned: The portal will be available in October just in time for Open Enrollment. It will initially only be available for certified CACs and Navigators. It will be […]
Good afternoon, I have a client that has been in my office since April 2016, she did her application over the phone with a CSR . when she called back the next week to make a change on her husband income, she was told she had two accounts. one that had mark she needed help […]
On 6/3/16 I did a renewal for a member. She and her daughter were both on Mass Health Standard until that point. She received more hours and a raise at her job, which bumped her over the 138% FPL, and it offered her a Connector Care Type 2B plan. She enrolled, but when she went […]
Hi all, The Centers for Medicare & Medicaid Services (CMS) recently announced changes to sign-up rules in an attempt to address an issue of gaming the system. Specifically with regards to moving being a qualifying event, the changes require that people have coverage at some point in the preceding 60 days, which is intended to prevent […]
Hi all, The Health Connector and MH used to be able to email a link to an email for someone who had an existing optum account already. i.e. they started app online but finished via paper and now have coverage via the determination from the paper app. The online application originally never even went so […]
Not sure if anyone else has run into this issue. I attempted to help a client with an online app and they could not verify his identity. We faxed a copy of his license to the fax number we were given at Mahealthconnector.org. I waited about fifteen minutes, then called the Masshealth Assister line. I […]
Hi all, Had a very very frustrating morning with a client who had MassHealth, was terminated because she “failed to cooperate with the quality assurance unit (for MassHealth)” (direct quote from a letter to her from MH) despite sending in all of her verifications, and then when we submitted a new app, was kept from […]
We have a client who enrolled in Tufts Network Health because the Connector website said his doctor accepted the insurance. He has had the plan for several months. When he called his doctor to make an appointment, he learned that his doctor does not accept the plan. Is there any way to switch a plan […]
Hi, I had an individual who lost their job and was given a severance package. This severance included payments for COBRA coverage on behalf of the company (but it is not considered Employer Sponsored Coverage). So, the severance is more of a backdoor payment on behalf of the employee. That severance ends in August. When […]