[Parentsgroup-list] MassHealth Primary Care Plan for baby

jhickman at fas.harvard.edu jhickman at fas.harvard.edu
Sun Jul 23 17:42:38 EDT 2006


Kevin,

That is exactly what I'm saying.  If you qualify for Mass Health, you likely
also qualify for Mass Health Premium Assistance which means that your son can
stay enrolled in the HUHS Blue Cross-Blue Sheild (BCBS) plan and you will
receive reinbursement through Mass Health to help pay your BCBS premiums.  We
have been receiving monthly assistance through the plan since my son was born 3
years ago and have been on the HUHS BCBS plan the entire time.  Enrolling in the
Premium Assistance Program is really the way to go if you are happy with your
HUHS BCBS coverages and services.  Plus, if you do go out of state for travel
or short term research, your child will still be covered by BCBS network
providers (as we have done several times).  Essentially NOTHING will change
with your current coverages or services but you will get help paying your
premiums.  It's been the ideal solution for our family.

Aimee

Quoting kmokeefe at fas.harvard.edu:

> 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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