What is a Personal Representative Designation form?
This form identifies a person who has legal authority to act on a member’s behalf in making decisions. related to the member’s health care.
What is authorized representative designation?
An Authorized Representative is a person you authorize to act on your behalf, in pursuing a claim or an appeal of a denied claim.
What documents do I need for MassHealth?
MassHealth Checklist
- Copies of both sides of all health insurance cards (including prescription plans, private or retiree insurance, dental, vision)
- Medicare card or correct Medicare ID.
- Social Security card or correct Social Security ID.
- Proof of citizenship with photo ID.
How do I get MassHealth reimbursement?
By phone. Call the MassHealth Customer Service Center: Main: (800) 841-2900. TTY: (800) 497-4648.
How do I make someone a legal representative?
A person who is being considered for such a position is consulted and given an opportunity to decline or recommend someone else. Once someone has indicated willingness to serve in such a capacity, documentation can be filed to create a legal standing that allows that person to act as a representative.
What are personal representative papers?
A personal representative or legal personal representative is the executor or administrator for the estate of a deceased person. In this case, a personal representative has power of attorney, a legal document that allows the representative to act for the other person when making legal or financial decisions.
Who is considered an authorized representative of a company?
An authorized agent or authorized company representative is a person who is a principal executive officer or other corporate officer with signatory powers as per the company’s by-laws or per a vote of the directors if the company is a corporation; a general partner or proprietor if the company is a partnership or sole …
What is income limit for MassHealth?
2021 MassHealth Income Standards and Federal Poverty Guidelines
| Family Size | MassHealth Income Standards | 150% Federal Poverty Level |
|---|---|---|
| 1 | $522 | $19,320 |
| 2 | $650 | $26,136 |
| 3 | $775 | $32,940 |
| 4 | $891 | $39,756 |
How much is MassHealth premium?
MassHealth Family Assistance Premium Formulas
| % of Federal Poverty Level (FPL) | Monthly Premium Cost |
|---|---|
| Above 150% to 200% | $12 per child ($36 PBFG maximum) |
| Above 250% to 300% | $20 per child ($60 PBFG maximum) |
| Above 250% to 300% | $28 per child ($84 PBFG maximum) |
What is the MassHealth premium assistance program?
This is a program for MassHealth members who have access to employer-sponsored health insurance (ESI). The MassHealth Premium Assistance program reimburses eligible MassHealth members for some or all the premium cost of eligible private insurance. …