$$$
Qualifying
"What if..."
Wild Card
Plan
100

I need to make a payment. 

What is contact carrier by phone?

100

I want a marketplace plan even though I am on my spouses/parents plan. 

What is you cannot receive a subsidy? 

100

...I had a baby. 

What is full name, date of birth, social security number. 

What is within 30-60 Days. 

100
I need my 1095-A. 

1. What is Health Sherpa?

2. What is Healthcare.gov

3. What is calling marketplace?

100

Does my plan cover this thing. 

What is SBC?

200

My Income is going up.

1. What is Reduced Premium Tax Credit?

2. What is Subsidy eligibility?

3. What is Subsidy Repayment?

4. What is Cost-Sharing Reduction?


200

Can I switch plans since I don't like this plan. 

What is at Open Enrollment from Nov 1 - Dec 15th effective Jan 1? 

200

... I got a job that offers coverage. 

What is Termination Consent Form? 

What is Cancel Plan and upload TCF in HealthSherpa?


200

I have a new address. 

HealthSherpa

AllState

EMI

What is HealthSherpa Portal?

What is email Mary Steele?

What is Email enrollment@emihealth.com

200

How to find a provider.

What is Carrier website?

300

My Income is going down. 

1. What is increased Premium Tax Credit?

2. What is Medicaid/CHIP Eligibility?

3. What is Cost Sharing Reduction?

300

I am turning 65. 

What is scheduling an appointment with Sean Clark?

What is 90 Days?

300

...my family only does dental cleanings once a year. 

What is enroll anyways, basic coverages will be covered in 12 months in case of a cavity?

300
How do I pay you

What is commission from the insurance carrier is built into every plan. 

300

Cost of RX. Coverage of RX. 

What is Drug Formulary Link in HealthSherpa? 

What is SBC?

400

Reporting income changes is based on ____ for a full calendar year. 

What is Adjusted Gross Income?

400

My plan isn't as good and it's more expensive than my neighbors. 

What are factors: Income, Age, Household Size, Zip Code, Number of people enrolling?

400

...I am a single mom with 4 kids. I only claim 2 on my taxes. I want coverage for all 4. 

What is you won't receive a subsidey on the 2 kids not claimed on taxes?

What is have parent claiming them cover them on insurance?

What is have parent allow you to claim for insurance purposes?

400
I lost my coverage on June 30th.  Today is July 13th.  I need coverage. 
What is cannot backdate to July 1st?

What is can enroll affective August 1st?

400
See a specialist in Chicago or New York.

What is for emergency use only. 

500

My plan terminated due to non-payment. 

What is SEP?

What is calling the carrier?

500

8.39% of gross income. 

What is affordability of Employers Sponsored Plan?

500

...A couple is separated but legally married still.  They want to know why both of their info needs to be on the health application. 

What is the marketplace viewing a household based on those listed on tax return. 

500

I only need coverage from March to June, why do you need my full year of income

What is the marketplace determines the monthly subsidy based on AGI even if you only need coverage for one month. 
500

PPO vs. HMO vs. EPO vs. POS

What is Preferred Provider Organization?

What is Health Maintenance Organization?

What is Exclusive Provider Organization?

What is Point of Service?

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