Hi, I had a former Connector Care member try to transition to ESI, but was told they couldn’t have ESI because they also had a full price QHP through the health connector. I submitted changes for this member to update their application by answering they did have access to ESI and that ESI was starting […]
A client of mine is trying to decide on what plan to choose. She has numerous medical issues and has two specific criteria: She wants to keep the PCP she has AND she has specialty drugs that she needs covered. The PCP part is no problem. However, she states that when she contacts the plans […]
We had a family apply for coverage yesterday, the dad (head of household) and two children qualified for MassHealth. The wife qualified for a ConnectorCare plan. We called today w/the wife to pick a plan, but the CSR said she could not pick a plan b/c she was not the head of household. CSR said […]
Is there a way for members to select their plan on line through their application on the Connector?
Hi All, I have received a few calls from patients confused because they received cards from tufts although they are not enrolled with Tufts. So far the count is 2 MH members who received Tufts Together (MassHealth) cards and one MH member who received a Tufts Direct (CC) card. None of these clients enrolled in Tufts […]
Hello Loopers!! One of my CAC’s was assisting a patient who is currently a Health Connector member choose a dental plan. When she called the Health Connector the Rep stated that the patient has to submit a new dental application. The CAC came to me for guidance; I don’t recall having received an update that […]
Hi, I had a consumer call me because they were going to owe back their tax credit for all 12 months. This consumer was on Connector Care Plan Type 2A (no premium). They transitioned to Employer Sponsored Insurance after in February 2015, but the consumer’s Health Connector coverage was never terminated. That means she has […]
Our office has had several clients who have switched their Qualified Health Plan enrollments from one carrier to another. All of the information in the Health Connector’s Enrollment System is accurate, however, when providers run member eligibility the clients are eligible for both plans. When I call the Health Connector they state the issue is with […]
Hi all, I’ve had a number of clients call saying they’re having trouble at the pharmacy with their PCC Plan. They’ve all recently switched from HNE BeHealthy CarePlus, and it seems that the pharmacies do know this…but they’re being asked to provide numbers that they don’t have – “bin #” being one of them. My understanding […]
Hello everyone, I am looking for a blueprint from soup to nuts on getting to know the how, when and where to plan an Outreach or Enrollment event. How to get started in the process. When to know it’s the right time to act. Where would be the perfect location for the type of outing […]