Category: Plan selection

Exceptions for ACOs/MCOs that are locked into their plans

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 […]

ESI or MassHealth

Hi;  I have a client was offered a job with ESI.  She and her family are currently on MassHealth.  My question is because of the pandemic emergency can she keep her MassHealth or does she have to enroll her family in her ESI and maybe keep the MH as secondary coverage.   Her ESI would be $500 […]

Dropping ESI with Employer Consent

Hi; I received this question from a single, working female whose income is at 276.36%.  She pays $90 a month for ESI but wants to cancel because the coverage benefits are horrible and she has chronic medical issues that need to be addressed properly.   An example was the plan does not cover the cost for […]

Topics and Materials Request

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