'What is your burning question about Commonwealth Care?'

'What is your burning question about Commonwealth Care?'


Selected Survey Responses

  • What happens to people who are offered insurance by their employer but declined or discontinued coverage because of expense?
  • I know that people who get offered health insurance by their employers won't be eligible, but what if that premium is so high that the person cannot afford it?
  • What recourse is possible if one finds their financial situation changes after enrollment and they can't afford the premiums for the plan in which they are enrolled?
  • How is the 6-month 'look-back' for employer-sponsored insurance monitored?
    • Does the patient have to re-apply on the Gateway when the 6 months has passed?
    • Should they call?
    • Do they need documentation from the employer?
  • When someone's Medical Security Plan six-month coverage period ends, will they have to wait six months to become eligible for Commonwealth Care?
  • What if someone cannot afford MSP?
  • If someone is self-employed and on Insurance Partnership, can they change to Commonwealth Care?
  • What are the income guidelines for a household?
  • Since most private insurance plans have an individual and family premium rates, why do Commonwealth Care plans only offer individual rates? This practice can increase the premium burden on families.
  • How can I effectively convince our patient population that the benefits with CCHIP far outweigh the price of paying a small premium?
  • I would like to know if a person on Commonwealth Care could have their medical problems screened to determine eligibility for an upgrade.
  • How long will it take a person to find out if they are eligible for this insurance?
  • How do I know if a patient is eligible to enroll in commonwealth care if they don't get the letter from MassHealth telling them that they are?

Some Answers -

  • Is this program coverage the same as Standard or just a level below and above Essential coverage?
  • Is Commonwealth Care an option for an individual who may have lost their job and declined COBRA due to the high cost?
    • If an individual is unemployed and has declined COBRA, they would be eligible for Commonwealth Care if they meet the other eligibility requirements. Even if a person did take COBRA, they would still be eligible for Commonwealth Care. Click here for more information.
  • If someone is enrolled in the Medical Security Plan (MSP), are they eligible for Commonwealth Care?
    • MSP and several other kinds of subsidized coverage make someone ineligible for Commonwealth Care. Click here for more information.
  • Will REVS indicate Commonwealth Care eligibility, enrollment and plan choice? What should a Commonwealth Care member do if their income changes?
    • Click here to see many of the REVS codes for Commonwealth Care
  • How often will eligibility re-determination for Commonwealth Care happen? What does the individual have to do if their income changes?
    • Re-determinations will happen yearly, and any time there is a change of income, address, or family status, clients should inform Commonwealth Care Customer Service within two weeks.
  • What is the state residency requirement for Commonwealth Care?
    • Initially, Chapter 58 required a person to be a state resident for six months before becoming eligible. At their December meeting, the Connector board waived that requirement, so there is no minimum residency requirement for Commonwealth Care.

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