OEP/Res
OEP is ends on
December 15th
To qualify for AH an individual should be at or below _______ % FPL
138%
ESI is the acronym for _____
Employer Sponsored Insurance
This is where I can email or call with COFA questions
COFAQuestions@hca.wa.gov
Phone number: 1-800-547-3109
If WHPF goes down I must
Continue to assist clients
Where do I submit error tickets
Lead Org - Public Health
To Qualify for Cost-Sharing Reductions the household income must be below_______
250% FPL
ESI is considered affordable if the monthly premium is less than ______
9.5% (9.86)
Eligible clients will receive a _______ to cover their medical and pharmacy co-pays and deductibles
Navia Benefit Card
My role as a navigator is to _________
Help the client understand the answers, selections they are making, troubleshoot….
This is the first place you should look if you receive an error on WHPF
Trouble shooting desk aid
The threshold to qualify for tax credits is ________
400% FPL
In order to be able to buy a Dental plan through WHPF, you must be enrolled in a _______
QHP
_____ silver level plans offered in 2020 are available for COFA Islander Health Care.
All
Married couples filing taxes as _____are not eligible for tax credits
Married filing separate
Navigators can find useful information and resources on ______
LMS website
American Indians and Alaska Natives do not have to pay deductibles, co-payments or co-insurance under a Qualified Health Plan if they are ___________
Making an income below 300% of the FPL
QHP’s are available to clients & their family even when their ESI is less than 9.5% of their household income. However they are not eligible for _____ ______
Tax credits
January 2021 (OEP 2020)
What Metal Level plan would a person have to choose to receive Cost Sharing Reductions if they income qualify
Silver
What may happen if a person reports a change that takes effect after the 1st of the following year when attempting to enroll during Open Enrollment
If the change is a Qualifying Life Event it may affect their current coverage and/or Tax Credits for the remainder of the current year
AI/AN that have the income of less than 300% FPL, should find the __________premium because co-pay and deductibles don’t apply
Lowest premium
What is the Benchmark Plan
It is the second lowest cost Silver Plan and it is the plan used to calculate the tax credit
In order to qualify for the COFA program clients must: 1__________, 2________, 3________, 4________, 5_________, 6__________
1. Be a COFA islander and a Washington resident 2. Income under 133% FPL 3. Not be eligible for other minimum essential coverage such as ESI, AH or MCR 4. File income taxes (even if they do not meet the tax filing requirements) 5. Qualify and take the maximum Advanced Premium Tax Credit (APTC)
6. Enroll in a silver level Qualified Health Plan
Name the 10 Essential Benefits
Doctor & Hospital Visits /ER Visits /Care before & after your baby is born /Lab Tests /Prescriptions /Services and devices /Chronic Disease care /Pediatric Care /Behavioral Health /Preventative Services