APTC
MCRE
IAPs
Privacy
QHP
100
This is a federal tax credit established by the Affordable Care Act (ACA). The program allows people to take a tax credit in advance to pay a portion of their health care premium.
What is an Advanced Premium Tax Credit (APTC)?
100
This is Minnesota's publicly funded state health care program, established in 1992.
What is MinnesotaCare (MCRE)?
100
These provide low-income families and individuals access to affordable health insurance coverage.
What are Insurance Affordability Programs (IAPs)?
100
This person is given permission by the client to speak on their behalf.
What is an authorized representative?
100
These are commercial health insurance plans offered by insurance companies to address the coverage needs of Minnesotans
What are Qualified Health Plans (QHPs)?
200
You must be within this FPL guideline to receive APTC.
What is 200-400%?
200
This is the Federal Poverty Guidelines (FPG) to be eligible for MCRE.
What is 133%-200%?
200
These are the Minnesota IAP's
What are Medical Assistance (MA), MinnesotaCare (MCRE), and Advanced Premium Tax Credits (APTC)?
200
You must ask for a person's name and these to verify identity for HIPAA.
What is birthdate, social security #, case #
200
QHP's offer the same core set of benefits, including preventive services, mental health and substance abuse services, emergency services, prescription drugs and hospitalization. These are also known as __________
What are Minimum Essential Benefits (MEBs)?
300
You may be eligible for this if your income is between 100% and 250% of the FPL.
What are Cost Sharing Reductions?
300
These people do not pay a premium for MCRE.
What are American Indian or Alaskan Native, Active-duty Military Personnel, and children under 21?
300
These people are exempt from the mandate to have health insurance under the ACA.
Who are non citizens, incarcerated individuals, low-income individuals and those with certain religious beliefs?
300
When you are speaking to a client, you verify this at each contact in order to ensure proper notification is received.
What is their address?
300
You can go here in Minnesota to compare QHPs.
What is MnSure, Minnesota's Marketplace.
400
This is the advantage of APTC.
What is allows tax filers who qualify to take the credit before filing taxes?
400
These people are not eligible for MCRE even if they are under the FPL.
What are pregnant women and children under 18 (they are eligible for MA)?
400
You determine eligibility for IAP's based on these limits.
What is # of people in the household and FPL?
400
This is adjusted gross income (following IRS rules) plus tax-exempt interest and certain foreign earned income.
What is Modified Adjusted Gross Income (MAGI)
400
Name the 4 coverage levels and their actuarial values.
What are bronze (60%), silver (70%), gold (80%), and platinum (90%)?
500
This extra tax credit will help reduce the cost of copays and deductibles.
What are Cost Sharing Reductions?
500
This is where you can find an estimate of what your MinnesotaCare monthly premium will be.
What is the MinnesotaCare Premium Estimator Table?
500
If your income is over this FPG, you are not eligible for any subsidy.
What is 400%?
500
Always do this if you need to place a client on hold.
What is ask them first if it's okay?
500
In order to be eligible for cost sharing reductions, you must sign up with this coverage level.
What is silver?
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