When a recipient has been terminated due to failure to pay a premium, s/he will not be eligible for reinstatement for one month from the termination date. Reinstatement(6) is possible for any remaining months of eligibility. The recipient must apply and must pay any premiums due for past coverage and the first reinstatement month premium prior to being reinstated. Coverage is not provided for bills incurred during periods of non-enrollment.
Example: A recipient receives coverage for June but fails to pay the June premium prior to June 30th and is terminated from the Program effective June 30th. In October, the recipient wants to be reinstated. Since the individual received coverage for June the premium for June is required before current coverage can be granted. Also the individual must pay the October premium prior to reinstatement. Upon payment of the June, and October premiums, the individual is enrolled for October. Coverage for medical bills incurred in July, August and September is not provided.
10- 144 C.M.R. ch. 103, § V-5.4