EP 200-250
Newly eligible
Pregnant consumers
Always & Never
100

True or False

Adult the age of 18 can enroll into the EP 200-250

False. Age 19-64

100

Mary became eligibile for EP 200-250 on May 30th and selected a plan on June 3rd. When does the coverage start

June 1st

100

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

100

Be educated on the immigration rules and application functionality to combat misinformation and provide accurate facts to the public

Always

200

Undocumented individuals are____ for ___ variation of EP

Undocumented individuals are not eligible for any variation of EP

200
If Tony becomes eligible and did not select a plan within 10 days. What will the NYSOH do?

Tony will be auto assigned to a plan

200

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

200

Change household income/size to make consumer(s) eligible for a program.

Never

300

true or false

consumers may only apply for EP 200-250 during OEP period

False. Consumers may enroll all year long

300

True or False

EP 200-250 is retroactive back to the first day of the month it is selected

True

300

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

300

Help consumers to understand that they should provide an updated document, if possible.

Always

400

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

400

EP 200-250 must be renewed when?

Every year

400

True or False

Newly applying pregnant consumers, with no coverage, will be evaluated for Medicaid up to 223% FPL.

True

400

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

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