IAP
MNSURE
ACA
QHP
Minnesotacare
100
What are the three IAP's?
MA, MCRE and APTC/CSR.
100
What is MNSURE?
MN's own marketplace for consumers to find, compare and shop for quality health care coverage.
100
What does ACA stand for?
Affordable Care Act
100
What is a QHP?
QHP is certified health insurance coverage provided by licensed health insurance issuers purchased by eligible individuals through MNSURE.
100
Who is eligible to receive MCRE?
Those whose income is at least 200% of the FPL.
200
What program(s) are partially or fully funded by the federal government?
MA, MCRE and APTC/CSR
200
When will coverage purchased through MNSURE begin?
January 1, 2014
200
When year was the ACA passed?
2010
200
What are the four tiers offered through the QHP and actuarial value for each?
Platinum offers 90% Gold offers 80% Silver offers 70% Bronze offers 60%
200
Who are exempt from paying MCRE premiums?
American Indian or Alaskan Natives who has verified their status. Active-duty military personnel. Children under age 21.
300
What program(s) are funded by the state?
MA and MCRE.
300
What date must a consumer enroll for a plan through MNSURE for coverage to begin 01/01/2014?
December 15, 2013
300
What does the ACA do for preventative care?
Make it more affordable and available.
300
What are the essential health benefits each QHP must offer?
Ambulatory patient services. Emergency services. Hospitalization. Maternity and newborn care. Mental health and substance use disorder services including behavioral health treatment. Prescription drugs. Rehabilitative and habilitative services and devices. Laboratory services. Preventative and wellness services and chronic disease management, Pediatric services including oral and vision care.
300
What insurance barriers affect MCRE eligibility?
Access to other insurance through goverrnment or employer sources like MA, Medicare and Tricare and if employer insurance is affordable and provides minimum value.
400
What is the maximum FPL to qualify for APTC/CSR?
What is 400%.
400
What will MNSURE help you determine?
If you are eligible for MA, MCRE, tax credits (APTC/CSR) or to purchase a QHP based on your income and number of people in your household.
400
What are the 3 main components of the ACA?
Insurance Market Reform Coverage Requirements and Assistance Health Insurance Marketplace
400
What cost are not applied to out-of-pocket maximum?
Premiums, out-of-network providers and services and costs not covered by insurance.
400
What is the MCRE contact center hours of operation and phone number?
Monday - Friday 8 a.m. - 6 p.m. Phone number is 651-297-3862 or 1-800-657-3672
500
What are the sources a consumer can get application assistance?
DHS and MNSURE website, call center, county and tribal agencies, and consumer assisters.
500
Who can use MNSURE?
MN resident who lives in MN, is a US Citizen or lawfully present in the US, cannot be incarcerated and cannot be eligible for other minimum essential coverage.
500
Who does the ACA require to get health insurance coverage?
Every US citizen or lawfully present in the US with the exception of being exempt or if you already have insurance.
500
Who is eligible for CSR and what does it do?
CSR is available for eligible consumers who are eligible for APTC and have taxable income between 100-250% of the FPL. CSR reduces the costs of deductibles and co-pays.
500
What services will the MCRE provide?
The status of their MCRE, APTC/CSR or MFPP. Explain MCRE, APTC/CSR and MFPP program guidelines and eligibility determinations to consumers. Make changes reported by consumers.
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