Medicaid/Medi-Cal
What time of year can you apply for/enroll in Medi-Cal?
Any time
Income aside, what is the best plan out of all the plans?
Silver 94
Another word for self-employment is
freelancing
APTC stands for
advanced premium tax credit
The program offered by the state/county for pregnant women is called
MCAP - Medi-Cal Access Program
How can I get off of Medi-Cal?
Visit your local social services office to prove you're making too much to be eligible.
How many preventive care visits will a bronze plan cover?
Unlimited. (and free of charge!)
Should a self-employed person provide you with their net income or adjusted gross income?
Adjusted gross income. (business expenses counted)
What is cost-sharing?
rather than a cheaper premium (affected by APTC) cost-sharing decreases the cost of other plan benefits such as the copays, deductible, max out of pocket and coinsurance
"My worker's compensation coverage ended." QE?
no - worker's comp is not considered Minimum Essential Coverage (MEC)
What happens if I request cancellation of my Medi-Cal so I can be on Covered California?
You will lose eligibility for APTC through CCA/ pay full-price for your healthcare plan.
Name the 4 basic Qualifying Life Events
Had a baby, got married, moved, lost health insurance
If someone has no idea what they project for the year, how should you talk them through that?
Picture the lowest amount you'll make and the highest amount and choose something in the middle.
What is the deduction limit for student loans?
$2500
Outside if Open Enrollment, if someone cancels their COBRA, is this a QE?
No - only if their COBRA expires outside of OEP is it considered a QE.
I had Kaiser and was flagged/switched to Medi-Cal. Can I still go to Kaiser?
Eligibility for Kaiser Medi-Cal varies by zipcode; check zip code to make sure they are eligible and provide them with phone number to assign Kaiser.
What goes toward my maximum out-of-pocket?
Deductible, copays after the deductible
Can I get small group insurance if I'm self-employed?
You need at least two employees,
True or False: Medi-Cal is an HMO
True
What counts towards the deductible on a silver plan?
Hospitalization, surgery, ambulance rides, t4 drugs ;(emergency situations)