help small business employers provide insurance to workers
What is Shop
100
a way to find health coverage that fits consumers budgets and needs, helps consumers figure out if they qualify for public health coverage programs like Medicaid and CHIP.
What is Marketplace
100
P.P.O
What is preferred provider organization?
100
decides if consumers are eligible for qualified heal plans
What are functions of marketplace
100
Patient Protection Affordable Act became law.
What is 3/23/2010
200
Helps Individuals complete the application process and enroll in coverage through marketplace. They can make specific recommendations and may sell plans from insurance companies.
What is agents and brokers?
200
Health Maintenance Organization
What is H.M.O
200
determine eligibility for financial assistance in QHP, through a premium tax credit
What is functions of marketplace
200
consumers between the ages of 19-65, may now qualify based on income and family size
What is Medicaid
300
Hospitals. doctores, pharmacies and health providers contracted to provide medical services to consumers.
What is Provider network
300
S.B.M.
What is state based marketplace
300
determining and assessing consumers eligibility for enrollment in Medicaid or Chip
What is functions of marketplace
300
is available to those who are 400 % below federal povertyu level,up to 45, 960 for individuals, up to 62, 040 for families of 2 and 94, 200 for family of 4
What is premium tax credits
400
What is Quality Health issuer pays on average in Bronze plan
What is 60%
400
a way for health insurance companies to manage quality, cost, and access to services.
What is managed care
400
Summary of Benefits
What is S.B.C.
400
overseeing and monitoring health insurance companies selling QHP to see if they meet plan specificaions
What is functions of the marketplace
400
to qualify you must have a household income of less than or equal to 250% of FPL, receive premium tax credit and enroll in a silver plan through the marketplace