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The Online Resource for Massachusetts Poverty Law Advocates

The Online Resource for Massachusetts Poverty Law Advocates

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  1. Home
  2. ConnectorCare Advocacy Guide
  3. Appendices

Appendices

Additional Resources
Appendix 1: Mass Health and Other Health Programs: Upper Income Limits 2019

Table of Contents

  • Scope of the Guide
  • Background and Overview of Eligibility
    • 01. How did the Affordable Care Act expand affordable private insurance coverage?
    • 02. What is ConnectorCare?
    • 03. What is the Health Connector?
    • 04. Who is eligible for ConnectorCare?
    • 05. How do you obtain information about a client's ConnectorCare eligibility or enrollment?
  • Eligibility: Income, Other Coverage, and Tax Filing
    • 06. How is income calculated?
    • 07. What is “minimum essential coverage”?
    • 08. When does eligibility for government-sponsored coverage affect ConnectorCare?
    • 09. When does eligibility for employer-sponsored insurance affect ConnectorCare?
    • 10. How does tax filing affect eligibility for ConnectorCare?
  • Application and Verification
    • 11. How do you apply for ConnectorCare?
    • 12. How is information on the application verified?
    • 13. What happens to a ConnectorCare application if eligibility factors are not verified electronically?
  • Enrollment into an HMO
    • 14. When does ConnectorCare coverage begin?
    • 15. What is open enrollment?
    • 16. What qualifying events create a special enrollment period (SEP)?
    • 17. How do Special Enrollment Periods (SEPs) affect the start date of coverage?
    • 18. How does ConnectorCare work with MassHealth Limited and the Health Safety Net?
  • Losing and Regaining Coverage
    • 19. How is ConnectorCare renewed?
    • 20. At what other times may individuals lose eligibility?
    • 21. How can individuals regain coverage in ConnectorCare?
    • 22. What happens when MassHealth members become eligible for ConnectorCare?
  • Covered Services and Costs
    • 23. What health services are available in ConnectorCare?
    • 24. How does ConnectorCare deliver health services?
    • 25. How much does ConnectorCare cost?
    • 26. What happens if a person cannot afford the premiums in ConnectorCare?
  • Appeals and Reconciliation
    • 27. How do you resolve disputes in ConnectorCare?
    • 28. How do you appeal a decision by the Health Connector?
    • 29. What happens after an appeal is filed?
    • 30. How are the amounts of advance premium tax credits reconciled with the amounts due?
  • Additional Resources
  • Appendices
    • Appendix 1: Mass Health and Other Health Programs: Upper Income Limits 2019
    • Appendix 2: Lawfully Present Non-Citizens
    • Appendix 3: ConnectorCare Overview
    • Appendix 4: Table Comparing MassHealth CarePlus and ConnectorCare
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