TERMS
Marketplace
What's coming
HCR for Individuals
Amazing Agents
100
ACA: Affordable Care Act
The term "health care reform" refers to the
100
Covered California opened in ______2013
What is October?
100
Starting in 2014, health insurance companies cannot disqualify you or increase your premiums for having this.
What is pre-existing conditions?
100
A federal program that provides health and long-time care coverage to low income Americans that is not age related.
What is Medicaid?
100
Jamie E. and Dominique J.
Who are our leaders (bosses/supervisors)?
200
exchanges
What is another name for the "Marketplaces?"
200
The Marketplace will be state and federal ______ where many people can buy health care coverage
What are marketplace websites?
200
December 23, 2013
What is the revised deadline to enroll in medical coverage?
200
What you pay out of pocket before your insurance starts paying its share of your costs.
What is a deductible?
200
Yes, I can help you.
What is an assurance/assistance statement?
300
Covered California
What is another name for Marketplaces specifically in California?
300
Essential Health Benefits
What is the name of the plans that must cover the same health care services
300
(True or False and give specific answer) Only U.S. citizens will be eligible for coverage
What is Legal residents?
300
This is the minimum annual penalty for a single adult who does not have health insurance in 2014.
What is $95.00?
300
Are you on the website/do you have internet access?
What are probing questions?
400
YCR Representative (Your Coverage Resources Rep)
What is our title?
400
Individuals will have to buy coverage through the Marketplace to be able to receive __________ .
What is (are) subsidies? (federal financial assistance for payment of premiums and/or cost sharing)
400
Pay a tax penalty after three continuous months without insurance.
What will happen after January 1, 2014 if you don't buy health insurance?
400
This is the minimum annual penalty for a single adult who does not have health insurance in 2015.
What is $325.00?
400
Oh my I can understand your frustration.
What is empathy?
500
Starting January 1, 2014 you must have health insurance or you will pay a penalty.
What is the individual mandate?
500
The ACA gave states the choice to either set up a Marketplace themselves or to defer to the federal government to set up a Marketplace in their state. In 2014, California will manage their own Marketplaces.
What is the difference between a federal Marketplace and a State Marketplace?
500
Four: Bronze, Silver, Gold, and Platinum. The lower the level, the lower your premium but higher copayments and coinsurance. Higher level plans would typically have higher premiums but lower out of pocket costs.
How many levels of plans are offered and what are they called?
500
To determine where an individual's income is relative to the federal poverty line, the individual should use this and NOT their annual gross income.
What is their MAGI, or modified adjusted gross income?
500
Personal, Knowledge Expertise, Confidence Building, and Timeliness
What are the 4 areas of our Quality Assessment?