ACA
Private Plans
Health Insurance Lingo
Common Mistakes
Too Tough for Underwriting
100

This is the year the ACA was signed into law? 

What is 2010 

100

This term means your health history is reviewed before you're approved for coverage.

What is underwritten?

100

This is what you pay before insurance kicks in. 

What is the deductible

100

When you want fast treatment without an appointment for a non-life-threatening issue, this type of walk-in clinic is your go-to option.

What is Urgent Care?

100

Name a job that’s always declined by private underwritten plans.

What is a Boxer, roofer, stripper, bartender. 

200

This is the official name of the ACA marketplace website? 

 What is HealthCare.gov

200

One major perk of a private PPO plan—besides flexibility—might include this.

What is a lower monthly premium (or broader network)?

200

This is A fixed amount paid for a covered service. 

What is a “copay”

200

What happens if you go out-of-network without a referral?

What is paying full price.

200

True or False: Active military can be approved for private underwritten plans

(False)

300

This is the income cap to qualify for subsidies 

What is 400% of the Federal Poverty Leve

300

This is one major drawback of many short-term private plans—they typically won’t cover this.

What are pre-existing conditions?

300

This is the monthly cost of the insurance policy.  

What is the monthly premium.

300

What mistake cause Karen $800 for her mammogram?

What is using a hospital instead of going directly to an imaging center.

300

This is a high-flying job that is declined for an underwritten plan?

What is a pilot, Crop duster, aerial photographer

400

These are the dates for open enrollment 

 What is Nov 1 – Jan 15.

400

Health Access, Pivot, and Manhattan Life are examples of this type of private indemnity plan.

What is a guaranteed issue plan?

400

This is an itemized receipt you submit for reimbursement because you paid the cash price.

What is a superbill

400

What's a frequent error people make when applying for ACA plans?

What is Incorrect income reporting

400

Why cant a bounty hunter get a approved for an underwritten plan?

What is Too high risk for underwriting

500

This is when you  can switch your ACA plan when not in open enrollment. 

What is a qualifying event.

500

Health Access guaranteed issue plan offers this impressive amount in lifetime coverage.

What is $5 million?

500

This is an EOB. 

What is an Explanation of Benefits.

500

Why do people get denied for underwritten plans?

What is Pre-existing conditions or high-risk occupations,

500

What kind of coverage do high-risk individuals qualify for instead of an underwritten plan?

What is ACA/Marketplace plans

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