Client 400% called Insurance company today without CC help. Was told that Open Enrollment is over they could not help them! How is it possible that a private insurance company cannot help a private citizen who wants to buy insurance? They do not operate under Open enrollment regs do they ???
Hi, I have a senior couple who needs to convert $7300 in assets in order to qualify for MassHealth benefits. They already have pre-paid burial plans. Who do they call to get help for this type of situation? Any suggestions would be greatly appreciated. Thanks.
I have a CommonHealth member who was recently terminated due to not meeting the deductible. He also has Medicare. He has been a One Care member with Commonwealth Care Alliance since the start in 2013. With CCA there are no deductibles and copays, so its understandable as to why it would be terminated. He has […]
Has anyone else been experiencing fax issues to the EDMC or CPU fax # over the past two weeks? I’m trying to diagnose whether our problem is just internal or whether there’s an issue on MH’s end as well. If everything is good on your end, please let me know.
Hi Everyone, I’m not sure if this has been brought up already but here goes… I just wanted to post a comment about all the requests for conference calls the have recently been popping up on my calendar. I am the lead CAC for my organization (the only CAC actually) and helping people navigate applications for Mass Health/Health […]
Is anyone having trouble getting into the assister portal? My coworker Imelda was on it this morning with a patient, when she tied to use it again it states we are not authorized to use this site. Is their and email address that we can use to try and get help/ We have talked to […]
Spoke with HC Assister Line that had no problem finding an NDF and helped me right away. Was told that they were unable to see what Mahealth needs and would need to call them. Call Mahealth and Customer Service cannot find the NDF and I’m being told that because they don’t have the same system […]
Hi everyone, I am asking a question for a local physician’s office. They are in the process of discharging a patient from their practice and are currently listed as the PCP on the members MassHealth Primary Care Clinician Plan. They would like to contact MassHealth to be officially removed as the PCP, has anyone ever […]
Hi all, Happy Open Enrollment. My question is, “If a client has HSN secondary to a private insurance plan that has no deductible or co-insurance, will HSN cover the client’s medical visit co-pays?” According the Masshealth.gov, Health Safety Net for Patients, “HSN “does not pay for co-payments required by private insurance plans.” In that case […]
Hi, Has anyone noticed that the FPL listed in the Tax Filing Status section of the Application Summary page is different from the FPL listed on the Eligibility page? Is this important? I just began noticing it when a client’s income was below 100% but she was approved for CarePlus instead of MH Standard. Any […]