Talking Points for Recent Court Ruling
April 27, 2023
You may have heard that there was a recent Federal court case ruling (Braidwood Management Inc. v. Becerra) that might impact certain preventive health care services offered without cost-sharing under the Affordable Care Act. If anyone you assist has questions about whether or not their coverage is changing, you can say:
- Your benefits will not change and you will continue to have access to a broad range of preventive services without any cost-sharing through plan year 2023.
- The Health Connector has also ensured that for 2024, Health Connector members will continue to have access to the broad range of preventive services without cost-sharing.
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The Health Connector is committed to ensuring members continue to have robust access to a broad range of preventive services without cost-sharing.
Reminder: As you help those transitioning from MassHealth coverage to Health Connector coverage, there are premium hardship waivers for individuals who may need help with their ConnectorCare premium cost.
- The Health Connector has an existing premium hardship waiver program for ConnectorCare members. In order to receive a waiver or reduction of premiums, members must meet criteria to be granted a waiver.
- If a member needs help with their premium, be sure to first review the application and make any updates to eligibility prior to reviewing the hardship waiver criteria.
- To assist the member with the premium hardship, go to: Premium Payment Help Options – Massachusetts Health Connector (mahealthconnector.org)
- To review the policy and the criteria go to: https://www.mahealthconnector.org/wp-content/uploads/NG-17-Waiver-or-Reducation-of-Premium.pdf