Health Care Under the Rainbow
Health-cabulary
Nuts and Bolts
Obamacare: Change We Can Believe In
Medicaid
100
A person in the LGBT Community is ____ times more likely to be a smoker.
What is "twice" as likely?
100
This is the payment you make each month to have health insurance.
What is the monthly premium?
100
This is the last day you can sign up for health insurance, or you will receive a fine.
What is March 31st!
100
True or False: BEFORE Obamacare men and women could be charged two different rates of health insurance, strictly based on their gender.
What is True! Because of the Affordable Care Act, there is now a non-discrimination policy in place to protect people based on age, gender (including trans* people), sexual orientation, race, creed, nationality, or citizenship status.
100
This portion of the Affordable Care Act helped even more low-income adults receive affordable health care.
What is the Medicaid Expansion.
200
According to a recent survey in Washington D.C., this percentage of transgender people of color are uninsured.
What is "50%" (will accept +/- 10%)
200
This is the amount you have to pay out of pocket before you start paying co-payments.
What is the deductible?
200
Speaking of fines, how much is the fine if you don't sign up?
What is $95 per adult ($47/ child) or 1% of your income, whichever is greater. BUT! This will increase over the next 3 years. In 2015 it’s 2% of income, or $325 per person. In 2016 and later years it’s 2.5% of income or $695 per person. After that it is adjusted for inflation.
200
True or False: when applying for health insurance, you must reveal your HIV status.
What is False! Insurance plans cannot discriminate against you based on pre-existing conditions, and asking about medical conditions in an insurance application is now illegal. Thanks, Obamacare.
200
The amount of money you can make each year and still qualify for Medicaid just increased in New York State! This is the amount an individual can make and still qualify for Medicaid (will accept to closest thousand).
What is $15,856/ year (or 138% of the Federal Poverty Level).
300
This group within the LGBT Community is most likely to be overweight, leading to diabetes and heart disease.
Who are black and Latina lesbian and bisexual women.
300
This is the highest amount you will have to pay for health care per calendar year.
What is the maximum out of pocket (or MOOP)?
300
This is the website you can go to as a resident of NY State to sign up for insurance.
What is nystateofhealth.ny.gov (also called New York State of Health)?
300
Until what age can you be on your parent's health insurance plan?
What is 21! Or 26 if you're a full time student!
300
Name one of the three places you can go to enroll in Medicaid.
What is your local Medicaid Office (typically in a hospital), the Office of Human Rights, or the New York State of Health online Marketplace.
400
Before the Affordable Care Act, this "disorder"was used to keep trans* people for getting health care.
What is Gender Identity Disorder, (now called Gender Dysphoria), was sometimes considered a "pre-existing condition," and used to keep trans* folks out of care.
400
This is the payment you make, after you've reached your deductible, each time you see a medical provider, have a medical procedure, or purchase prescriptions.
What is a co-payment or co-insurance?
400
These are the "tiers" or "levels" of coverage you can get. (Hint: think Olympics). DAILY DOUBLE if you can explain the difference between the "levels".
What are Bronze, Silver, Gold, and Platinum? The difference in these plans is because of cost, not coverage. Bronze plans are the cheapest, and Platinum plans are the most expensive. The more you pay each month, the more your insurance company will chip in if you're sick or injured, but the less you pay each month, the less your insurance company will pay if you're sick/ injured.
400
The Affordable Care Act is modeled after the health insurance plan of which state?
What is Massachusetts! Despite what Mitt Romney says, the idea for a health insurance exchange was modeled after a plan he implemented in 2006. Now 95% of adults and 99.9% of children are insured.
400
After you have been deemed eligible for Medicaid, you have 90 days to select one of these.
What is a managed care plan? Medicaid is moving away from straight Medicaid. Instead of saying you have "Medicaid," you will instead have a health care plan at Medicaid rates. In Manhattan these plans include companies like United, Health First, Metro Plus, and Well Care.
500
TRUE OR FALSE: Before Obamacare, Trans* folks were denied "gender specific" medical procedures like mammograms and prostate exams based on their trans* status.
What is TRUE.... >:-O
500
What is the difference between a co-payment and co-insurance?
A copay is a flat fee that you usually pay at the doctor's office or when you pick up a prescription. If your plan requires you to pay co-pays for services, the amounts will be listed on your insurance ID card. Co-insurance is a percentage of the service charge that your health plan calculates for you, after you've met your deductible. (Ex. $25= co-payment, 25%= co-insurance)
500
This is the special kind of health insurance coverage only people between age 19 to age 30 can get. It's sometimes referred to as "start-up" insurance. On the Marketplace, this insurance is...
What is catastrophic coverage. Catastrophic plans usually have lower monthly premiums than a comprehensive plan, but cover you only if you need a lot of care. They basically protect you from worst-case scenarios like serious accidents or illnesses. A catastrophic plan generally requires you to pay all of your medical costs up to a certain amount, usually several thousand dollars (aka your deductible). After you reach your deductible, costs for essential health benefits are generally paid by the plan.
500
Certain services are now free under the Affordable Care Act. List one of those services (HINT: there's two).
What are primary care/ wellness visits and preventative screenings (HIV/ STI screenings, mammograms, pap smears, colonoscopy, flu shots, etc.).
500
This is how long you are able/ eligible to be in Medicaid.
What is 12 months! Even if your income increases. Remember when Medicaid randomly cut people off? The Affordable Care Act made it so once you sign up for Medicaid you are on Medicaid for a full 12 months. If your income increases, you can finish off you full 12 months or change plans. The only exception is if your employer offers you health insurance.