Define Maryland Health Connection - Answer The new marketplace in the state to compare health insurance options and enroll in health coverage.
Name the important elements of the Maryland Health Connection - Answer 1. New Marketplace to shop and compare health insurance.
2. No Wrong Door
3. Onl...
Indiana Navigator Exam Questions & Answers Solved Completely Define Maryland Health Connection - Answer The new marketplace in the state to compare health insurance options and enroll in health coverage.
Name the important elements of the Maryland Health Connection - Answer 1. New Marketplace to shop and compare health insurance.
2. No Wrong Door
3. Only place to qualify for Advance Premium Tax Credits and Cost Sharing Reductions
4. Private and Government plans
What are the four ways consumers can apply for health care coverage? - Answer 1. Online at www.marylandhealthconnection.gov
2. In person
3. On the phone
4. By mail
What are the 6 types of consumer assistance workers - Answer Navigators
Assisters Caseworkers
Consolidated Services Center Representatives
Producers Application Counselors
True or False
If Sally enrolls in Qualified Health Plan and her payment is posted by the 18th of February, Sally can submit her health bills for services she received for the entire month of February. - Answer False
There are no retroactive enrollment dates for private health insurance What is the date that a payment must be POSTED for coverage to be effective on the 1st day of the following month? - Answer 18th
When will individuals eligible for Medicaid have coverage effective? - Answer On the first day of the month in which they enroll
What does the acronym FPL stand for? - Answer Federal Poverty Level
Define "Affordable" health insurance - Answer Health Insurance with premium costs less than a certain percentage of an individual's income. The percentage is based on the Federal Poverty Level
Up to 133% FPL = 2.00%
134 - 150% = 4.00%
151 - 200% = 6.30%
201 - 250% = 8.05%
251 - 400% = 9.5%
Some people may be exempt from having health insurance. Name the 6 exemptions. - Answer 1. Financial hardship
2. Religious objections
3. Members of a federally recognized Indian tribe
4. Those without coverage for less than three months
5. Incarcerated individuals
6. Consumers with incomes below the tax filing threshold
Consumers without health insurance coverage will be required to pay a tax penalty. Tax penalties will be phased in how? - Answer 2014 - $95 per adult or 1% of income (whichever is higher)
2015 - $325 or 2% of income (whichever is higher)
2016 - $695 or 2.5% of income (whichever is higher) What does the acronym SBC stand for - Answer Summary of Benefits and Coverage
Insurance companies and group health plans must provide consumers with two things. What are they? - Answer Summary of Benefits and Coverage
Uniform Glossary of Terms
True or False
Lifetime and yearly dollar limits on coverage of essential health benefits are no longer permitted. - Answer True
What does the acronym MAGI stand for? - Answer Modified Adjusted Gross Income
What does the acronym QHP stand for? - Answer Qualified Health Plan
Define Qualified Health Plan (QHP) - Answer A private health benefit plan that has been certified by Maryland Health Connection to meet requirements for certification under the ACA and Maryland law.
Qualified Health Plans offered on the Maryland Health Connection must meet requirements for what four areas? - Answer Metal Level and Actuarial Values
Essential Health Benefits
Network Design
Cost Sharing Limits
True of False
No financial assistance is available directly for Qualified Dental Plans (QDP) - Answer True
However, an individual who is eligible for financial assistance with a QHP could select a lower-cost plan and use the savings to pay for a QDP
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