EP 200-250
True or False
Adult the age of 18 can enroll into the EP 200-250
False. Age 19-64
Mary became eligibile for EP 200-250 on May 30th and selected a plan on June 3rd. When does the coverage start
June 1st
Carla reported she is pregnant and currently in EP 200-250. What will happen to her plan after she report her pregnancy?
Carla will remain eligible for EP 200-250
Be educated on the immigration rules and application functionality to combat misinformation and provide accurate facts to the public
Always
Undocumented individuals are____ for ___ variation of EP
Undocumented individuals are not eligible for any variation of EP
Tony will be auto assigned to a plan
if a Pregnant consumers with income at or below under 223% FPL who wish to move to Medicaid instead of remaining in their EP plan they ....
may do so by calling NYSOH to be evaluated for Medicaid
Change household income/size to make consumer(s) eligible for a program.
Never
true or false
consumers may only apply for EP 200-250 during OEP period
False. Consumers may enroll all year long
True or False
EP 200-250 is retroactive back to the first day of the month it is selected
True
True or False
Consumers who are eligible for EP and gave birth does not have to report any changes because newborn will be automatically added to the plan
False
Help consumers to understand that they should provide an updated document, if possible.
Always
Marshall had Bronze plan from January 1st start date. He spent $900 on out of pocket expenses. He now became eligible for EP 200-250 in April. What is the remaining MOOP
1100 for EP 200-250
EP 200-250 must be renewed when?
Every year
True or False
Newly applying pregnant consumers, with no coverage, will be evaluated for Medicaid up to 223% FPL.
True
Make direct benefit comparisons to other health plans, refer to them by name or interfere with or speak negatively about other health plans or their employees.
Never