Medicaid
What is FPL for adults ages 19 to 64
138% Poverty level.
undocumented children are eligible for this program.
CHP
Pregnant Women do not qualify for this plan
Essential Plan
You may not exceed 2 minutes and 30 seconds of this.
Hold Time
A small fixed amount required by a health insurer to be paid by the insured for service or drug prescription.
Copay
A subsidized insurance program for eligible individuals who meet income eligibility. This program has no premiums
Medicaid
Age limit for CHP
19 Years old.
What is the maximum amount a family of 3 can make a year to be qualified for EP 1
A family can become eligible for Essential Plan 1 when making $40,840.
You can lose 20 points on this subject matter.
HIPPA Violation
MP Appointments should be reassigned to the rightful owners at what time?
In the morning
Carol earns $28,000 annually and claims both her parents who are 62 year-old non-tax filers as dependents. What will Carol's parents be eligible for?
Medicaid
A family with 4 children with a premium of $9 Each will have a monthly combined premium of
$27 Max premium payment for a family with 4 children.
What are the annual gym membership reimbursement values for EP/QHP members?
Up to $400 per member and $200 for covered spouse annually
Pssing score in the QA Scorecards?
96%
This benefit allows members 24/7 access to doctors via phone and can even have prescriptions called into local pharmacies free of cost.
Telemedicine
Who does MAGI Population include
- Pregnant Women
- Children through age 18
- Parents/Caretaker Relatives
- Adults under age 65, not on Medicare
What options do consumers have for their children if they make over 400% of FPL
Full-Pay CHP or Full-Pay QHP
This essential plan covers Medical and Dental for $48.02
Essential Plan 1 Plus
You must always end the call by stating the following:
Is there anything else I can help you with and thank you for choosing Healthfirst.
Which leaf plans are PCP visits not subject to deductibles?
Silver Leaf Premier and Gold Leaf Premier Plan
Medicaid was signed into law on this year.
1965
What happens when a consumer who is enrolled in CHP reports to NYSOH tat they are now making more income than when they first filed their application
Nothing for the eligibility period of 12 months
Individuals with income greater than 138% of the FPL and less or equal to 150% of the FPL
Essential Plan 2
What demographics must you verify HIPAA with?
Full Name and two of the following: DOB, last four digits of SSN, full address, Member ID.
Can a NYS resident apply in the Federal Marketplace
No, NYS has its own marketplace NYSOH