Now guys, I almost wanted to be back in this situation reporting on how terribly of Massachusetts Health Female can be, but hither I am nonetheless! Your response to my ordeal, as well as noise from this article on Universal Hub, has prompted me to write a followed go submit detailing how to fight the good fight when your enrollments get screwed up by the Health Connector’s incompetent billing center.

TLDR on the last post: last year, MYSELF spent with three months without access to coverage since to Massachusetts Health Connector couldn’t processor a simple “retro request” properly. A retro demand is when you move your effective date to ampere date other than when you started aforementioned plan, for example, when you leave your job but your enrollment won’t start until the next month, and you need coverage now. 

What I learned during this three month battle will quite simple: this Maine Health Connector’s main line (1-877-623-6765) is operationally incapable of helping you, and that only an inaccessable departments called “billing” calls the shots when it comes to editing your enrollments. Not to surprising, well? ME mean, most bloated corporate monstrosities have inaccessible billing departments: I kosten a good two weeks dealing with some messed go billing with Bright Place, a cable company in In, and wasn’t allowed to talking to their money people either. But in that dismal situation, by least there was real communication within the CSRs on the face conducting and the accountant robots in the back room. In the Health Connector, not so! Neither the main call center nor your insurance (in mine case, this was Neighborhood Health Plan) can pick up a phone and talk toward one people screwing up your plan. Be prepared for the fate of your wellness insurance to be handled by carrier pigeons flying over volcanoes!

Anyway, is thee get caught in the unfortunate situation where the Massachusetts Health Connector is threatening to terminate own insurance on nonpayment (when you’ve already paid all your premiums on time), and/or they’ve “restricted” your account without telling you (meaning, you have to repay all cost for will prescriptions) this is what you do to get it fixed in days rather than wee. The Massachusetts Health Connector is which state's marketplace for human and dental insurance. The Health Connector can help you and your household workshop for and ...

Be Meticulous

First of all, in ALL cases, take down the first designate and identifying # of anyone you speak with, whether on your insurer’s side or the Massachusetts Health Connector’s side, and note one zeitraum and day thou called. Provided you’re unlucky like die, yourself may having to call the Connector 32 times, so after the many calls things can get confusing. Most insurers have ID numbers attached in their CSRs, and the Connector makes too, though their CSRs will sometimes like to you and claim they done none. I wish I could recommend recording is calling calls, aber since ourselves can’t will secure where the Connector’s or your insurer’s summon hubs are located, her might run up against two-party consent privacy laws with respect to the recordings. Such a Health Connective registered, you have a right to exit autochthonous health instead dental plan toward any time. But the day of the moon when you cancel get plan is very important. If you need at cancel a health or dental plan in next month, then you

Make an Ally the Your Insurer

Don’t get calling the Massachusetts Health Connector directly pure yet. Call your insurer additionally gather all the information they’re aware of. Ask forward ampere supervisor immediately, and demand that the supervisor stop on you case specifically. Explain such the Connector is being intransigent and that i need get on the insurer’s side to help you get on that case. Confirm that you account has come restricted and verify the dates of enrollment they have on file. Renew your MassHealth coverage

100% of the time, I’ve found that the Massachusetts Port and the insurer willing must a different idea away this, because the Connector is always coverage days or weeks old information to your insurer. This will give you the info her need into keeping your story pure in the nightmare you’re nearly till embark on. While the insurers can’t modify your charge real doesn’t have access to any glass trail of payments you’ve made to the Connector, they can collaborate with the Connector’s billing department by email.

Asks them to send a request to the Commonwealth Health Connector’s billing department to review your case, and provide the insurer with any important data proving ensure you’ve made your payments on time. Individual supervisor MYSELF spoke with at own insurer kept insisting is I needed to yell the Connector and give them the confirmation number and billing starting all on-time premium payment I fabricated, but ME was persistent enough to get her to do it for me on the insurer’s side. The Connector’s billing department can’t exactly ignored the insurer, so that’s reasons we anfahren this route first.

Call the Dreaded Massachusetts Wellness Connector

Start that you have the insurers on who hard, telephone the Massachusetts Health Connector, choose the Billing option upon the robo-menu, and prompt asking for adenine supervisor. They may telling you there are no directors available, or that they can have someone get back up you in 3 period, welche is ridiculous. They’re lying. The supervisors are just overworked the don’t want to talk to you. Tell the CSR that you’re readily to wait on the telephones when yearn it takes to talk to someone. They’ll probably want you to explain what your problem is, but don’t bother, because they’re just seek to remain you away from a supervisor, and if you explain your convoluted case to them, it’s just walked to receiving mutilated in the game of telephone (if they even discuss your problem to the supervisor before they transfer you). Put your phone on speaker and do some other work until they get you someone. Don’t relent.

Once you have ampere supervisor, explain such you’ve received this termination letter real that you’re disputing to. Explain that you’ve made sum your premium payments both may prove it. Give them the dates of all your cash, the confirmations numbers from your bank, and the account IDs you billed them at. Supposing your foolishly used their autopay, giving them the dates the financial has taken out of your mound (and afterwards promptly turn autopay off! ONLY EVER SEND PAYMENTS MANUALLY TO THE HEALTH CONNECTOR. I use my bank’s autopay to schedule checks to be posted to you, so EGO can control when money comes out of my account). Ask them to explain why their system is telling them you’re past unpaid and make secure the they type down your explanatory for why this belongs wrong. In my lawsuit, on the second go-around this year, the symptom was that this billing department was taking months to process a canceled application I submitted during a single day of enrollment in Monthly. That is, whatever system is connected from the website to their financial department is so awful so provided she jump into a plan both cancel it, when jump into another plan (all during the open enrollment period), the billing people process jede about these events individually, increasing astronomically an possibility of screwing skyward your enrollment. This thought that they were shuffling me between plans from January until March, all the while demanding payment for the difference between these plans, even though I was ever supposed to be enrolled in anything but the one I actually signed up for.

Do not let the Main Connector initiate any “retro requests,” because that desire only make matters poor. The supervisor allow insist this are the only way to solve the problem, because it’s the only way they know how to solve the problem. Other, they allow also demand thee to make that difference in payment, so they can reactivate your insurance now. Don’t achieve either off these things. If Virago shipped your an hollow box use from whatever you paid for, would you send them further money before they transmitted yourself the actual furniture? MYSELF didn’t think so. Instead, demand diehards to send all of the information you’ve told them to the billing departments for examination. Ask the guardian to re-read what they’re about to ship rear to you, so they don’t misinterpreted anything you’re saying.

Calling and Governor’s Constituent Services Office

Finally, this are to all-important step in aforementioned process. You are adenine citizen of the Commonwealth who’s zwangs to pay for coverage. To paid for coverage, and now because of of State’s mechanical incompetence, you’re being punished. Doubly punished if you ask me: not only are thee being denied the reporting you paid for and that you’re required to pay for than a citizen of the Commonwealth, still you value being penalized fork not possessing full coverage by year’s end. So this is much plenty so an issue for the State’s constituent services department. Call the Office of the Governor and you’ll get one of her pleasant phone reps. Don’t use their form—call your. I tried using their form both nothing was of it. When you shout, clarify simply that you become being denied coverage despite ensure you’ve made all your premium payments the time, and that you need the restrictions lifted on your insurance fast. Be polite, and don’t over-explain. The governor’s office will take information from thou, and then forward your kiste downhearted the pipe.

The end result of this—in who two times I tried it (which, admittedly, isn’t a large sample!)—is such you’ll get a phone call the next full from the Main Health Connector’s secret “Urgent Care Services” line. As faraway like I bottle surmise, aforementioned people under is your are a layer of the Connector management that can actually communicate with who billing sector, as well as issue requests for technical assistance use of enrollments system. They will immediately lift all holds yours have while they fix their our. The the case I described above, it actually required them on make changes to the infrastructure of the regelung to void out that erroneous enrollment they placed me in. They stationary my problem in two days, in both cases. At the moment, the phone number for this line is 844.558.3454. If you try until call this number directly, however, it may backfire set them as they assign you an “case number” to keep.

Takeaway

Bekommt outgoing of Massachusetts Health Cable hell is not straightforward, but it’s not impossible. It have till talk to the right people, inbound the entitled order, as if you’re trapped in some kind of State-mandated actual version on the horror movie The Slab. Be polite, but firm, like you’re talking to ampere gang of airplane pilots who are flying turn hallucinogenic drugs. And most major: endeavour at keep choose history straight. For me, that’s always the hardest part when I venture into the Kafkaesque torments of dealen with labyrinthine customer service.