[Parentsgroup-list] MassHealth Primary Care Plan for baby

kmokeefe at fas.harvard.edu kmokeefe at fas.harvard.edu
Sun Jul 23 16:50:26 EDT 2006


Aimee,

I am a GSAS student.  My 19-month-old son is also enrolled the HUHS/Blue
Cross-Blue Shield plan.  Are you saying that, if we qualify, Mass Health
Premium Assistance will reimburse up to $160/month of my son's premium without
any changes to his coverage/benefits?

Kevin O'Keefe
kmokeefe at fas.harvard.edu


Quoting jhickman at fas.harvard.edu:

> My children have been on Mass Health Premium Assistance for the last 3 years
> and
> it is a FANTASTIC program.  Essentially, if you qualify for any kind of Mass
> Health, you can apply for this program and Mass Health will pay part or all
> of
> your insurance premiums for other insurance plans--in fact, I think Mass
> Health
> prefers to do it this way as their only cost is only insurance premiums
> instead
> of hospital bills.  My husband is a GSAS student and both of our children are
> on HUHS Blue Cross Blue Shield which is great because Blue Cross Blue Shield
> IS
> covered out of state (with co-pays) and you can also stay with the HUHS
> services
> and not have to switch doctors (we also see Elizabeth Miller and LOVE her!).
> In
> addition to all of the documents you needed to submit to apply for Mass
> Health,
> you just need to fill out another document that proves that you are on a
> health
> insurance plan and then they will send you checks monthly (up to $160/child)
> to
> cover your premiums.  I have found Rose Candelora at the Premium Assistance
> office to be especially helpful.  Her e-mail is RCANDELORA at pcgus.com.
>
> Good Luck!
> Aimee Hickman
>
>
> Quoting geren at fas.harvard.edu:
>
> > My son has only been using MassHealth since earlier this summer (the state
> > switched us over from CMSP when elgibility criteria changed). So far my big
> > concern is that if you travel out of state your child is essentially
> > uninsured.
> > However, everything we have needed so far has been free, no copays for
> office
> > visits, durable medical equipment or prescriptions (the services we have
> need
> > so far). We kept our regular doctor and we are covered at Children's
> > Hospital.
> > I would like to hear what others who have been on MassHealth for longer
> have
> > to
> > say about it. Also, does anyone know where to find the information on what
> > services are covered and who is eligible? The information online is out of
> > date
> > and when I requested an information packet they sent the same out of date
> > information.
> >
> > What is the difference between student and postdoc/staff insurance other
> than
> > students not having copays at HUHS? I have been quite happy with my
> > insurance.
> > Unfortunately I have taken advantage of many of the services, but I only
> > rarely
> > have to pay copays (for things like surgery, ambulance service, etc.) and
> > while
> > specialist visits outside of HUHS are limited we seem to have access to a
> > large
> > number of specialists at HUHS. What problems have you experienced with the
> > insurance?
> >
> > Best,
> > Joy Geren
> >
> >
> > Quoting Chi-Kuo Hu <ckhu at fas.harvard.edu>:
> >
> > > Hello, is here anyone who has experience on MassHealth?  I am an
> > > international
> > > student in GSAS.  My three-month-old son just got granted the MassHealth
> > and
> > > now I need to pick up one primary care plan for him.  Anyone who ever in
> > the
> > > MassHealth plan can give me any suggestion?  Right now my son is in
> > HUHS/BCBS
> > > and we love our doctor (Elizabeth Miller) very much.  Does any MassHealth
> > > primary care provider plan covers doctors from childrens hospital like
> > > Dr.Miller?
> > >
> > > Besides, what is the major difference between HUHS/BCBS and
> MassHealth/PCP
> > ?
> > > Is
> > > the former significantly better than the latter?  My personal feeling is
> > > Harvard
> > > insurance for student is not good enough and much worse than the
> insurance
> > > for
> > > staff/postdoc.  We pay more but have less benefit in returen.  Is the
> > > MassHealth even worse than HUHS/BCBS?  Since MassHealth is free, I am
> very
> > > happy it could save some money from my not-that-deep pocket, but also
> worry
> > > about the quality at the same time.
> > >
> > > Any feedback will be appreciated.  Thank you!
> > >
> > > Chi-Kuo
> > >
> > >
> > >
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> >
> >
> >
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