RETROACTIVITY
WHO CAN REQUEST A RETRO ENROLLMENT OR RETRO CANCELLATION?
HOH, DEPENDENT WHO DECLARES THAT THEY ARE A VICTIM OF DOMESTIC ABUSE OR SPOUSAL ABANDONMENT, SPOUSE OF DECEASED HOH, IF THE HO IS DECEASED, A SPOUSE OR AN ADULT DEPENDENT
TRUE OR FALSE: REINSTATEMENT IS RE-ENROLLMENT INTO COVERAGE AFTER BEING TERMINATED SO THERE IS NO GAP IN COVERAGE
TRUE
TRUE
WHICH GUIDED WORKFLOW SHOULD YOU CHOOSE FOR RETROACTIVE CANCELLATION?
ENROLLMENT CHANGE
HOW LONG DOES A MEMBER HAVE TO REINSTATE THEIR COVERAGE IF THEY ARE TERMINATED FOR NON-PAYMENT OF PREMIUM?
35 DAYS
WHEN A MEMBER CANCELS COVERAGE FOR A REASON NOT DUE TO DEATH, WHEN WILL THEIR COVERAGE END?
THE LAST DAY OF THE MONTH THAT THEY CANCEL COVERAGE
TRUE OR FALSE: NEWBORNS SHOULD NOT BE REPORTED UNTIL 60 DAYS AFTER BIRTH FOR COVERAGE
FALSE
WHAT TYPE(S) OF REINSTATEMENT CAN BE HANDLED BY TEIR 1 AGENT?
MEMBERS TERMINATED FOR NONPAYMENT OF PREMIUMS WITH A PLAN CARD THAT SHOWS "REINSTATEMENT ELIGIBLE" OR "REINSTATEMENT PENDING"
WHAT DOES THE CANCEL ENROLLMENT BUTTON IN HIX DO?
CANCELS BOTH THE HEALTH AND DENTAL PLANS IN HIX FOR THE ENTIRE HOUSEHOLD
TO COMPLETE RETRACTIVE ENROLLMENT, THE MEMBER MUST MAKE THEIR FULL PATMENT TO COVER THE ADDED MONTHS OF COVERAGE, WHICH ARE DUE BY_?_
THE 23RD OF THE MONTH
3/31/2024
WHAT ACTION SHOULD YOU TAKE IF A DEPENDENT TURNS 26, STILL LIVES IN THE SAME HOUSEHOLD AS THE HOH, WANTS COVERAGE, BUT ID NOT BEING CLAIMED ON TAXES?
RECOMMEND REMOVING 26- YEAR- OLD DEPENDENT AND STARTING THEIR OWN APPLICATION
HOW LONG IS IT ALLOWABLE FOR A MEMBER TO HAVE OVERLAPPING MASSHEALTH AND HEALTH CONNECTOR COVERAGE?
90 DAYS
TO ELIGIBLE FOR REINSTATEMENT, A MEMBER MUST..?
BE WITHIN THE REINSTATEMENT DEADLINE NOTED IN THE FINAL TERM NOTICE IN MEMBER PORTAL, HAVE A TERMINATED ENROLLMENT SOAN WITH AN END DATE, PAY THEIR ACCOUNT BALANCE +ONE FUTURE MONTH ON THE DEADLINE PROVIDED. SUBMIT REQUIRED DOCUMENTS BY THE DEADLINE IF APPLICABLE, HAVE CARRIER APPROVAL TO REINSTATE IF THEY'RE OUTSIDE THE REINSTATEMENT PERIOD BUT HAVE ALLOWABLE REASONS.
A MEMBER SAYS THEIR SPOUSE PASSED AWAY ON 7/11/2024. WHAT DATE IS THE END DATE FOR THE SPOUSE'S COVERAGE?
7/11/2024