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ACA
Individual Mandate
Insurance
Exchange
Healthplanfinder
100
Congress & the Administration passed a health care insurance reform bill that is intended to lower costs, guarantee choices and enchance the quality of health care for all Americans.
What is the Affordable Care Act.
100
What is the Individual Mandate?
What is a law requiring all citizens and legal residents to have health coverage by 2014.
100
What is the name of the Healthplanfinder built in functionality that helps you with terms you might not be familiar with?
What is the "Field Level Help".
100
In October 2012, the Washington Health Benefit Exchange named its online marketplace what?
What is the Washington Healthplanfinder.
100
What must one do in order to be eligible Premium Tax Credits?
What is enroll in health care coverage through the Washington Healthplanfinder.
200
What are the 2 Key Goals of the Affordable Care Act?
What are slow down the rising cost of health care and expand health care coverage to uninsured Americans.
200
These credits are designed to make premiums affordable for individuals and families with lower incomes.
What are Health Insurance Premium Tax Credits.
200
What is Health Insurance?
What is a contract between an individual and an insurance company.
200
What date will the Washington Healthplanfinder be available for enrollment in health care coverage and what will be the effective date of coverage?
What is October 1, 2013 to begin enrolling through the Healthplan Finder and what is the effective date of January 1, 2014.
200
What are the 5 ways individuals can access the Healthplanfinder to shop for health care coverage?
What are Navigator/In-Person Assister, Self directed, Partner, Customer Support Center & Agent/Broker.
300
The passage of the ACA was preceded by how many years of efforts by this nation's leaders?
What is over 100 years.
300
What is the income threshold for filing a tax return for an individual and family?
What are $10,000.00 for an individual and $20.000.00 for a family in 2013.
300
What are the most common types of commercial health insurance progams today?
What are Health Maintenance Organizations (HMO's) and Preferred Provider Organizations (PPO's).
300
Who's needs will the Exchange's online marketplace serve?
Who are individuals, families and businesses.
300
What are 2 things that a customer can find help with through customer support on the Healthplanfinder homepage?
What are apply for Medicaid, Browse for a QHP, Apply for coverage or sign into an existing WA Healthplanfinder account.
400
Name 4 of the 6 exceptions of when the individual mandate does not apply.
What are Religious objections, Undocumented immigrant, Incarcerated, American Indians/Alaska Natives, Income below the tax filing threshold & lowest cost plan option exceeds 9.5% of an individual's income.
400
Name 4 of the seven sources that when insured for the entire year an individual will not need to pay a penalty and the individual mandate is satisfied.
What are Medicare, Tricare, The VA Program, plan offered by employer, Medicaid or CHIP, Health insurance purchased on own or a grandfathered health plan.
400
What does "Cost Sharing" refer to?
What is the out-of-pocket expenses such as co-pays, co-insurance & deductibles that a customer is responsible to cover.
400
What is the new methodology for calculation of income for certain Medicaid programs which closely mirrors how the IRS determines adjusted gross income and Household composition for tax purposes?
What is MAGI (Modified Adjusted Gross Income).
400
Name 3 of the 5 items the WA Healthplanfinder will integrate with the Federal system to verify about a customer.
What are Citizenship, income, social security numbers, incarceration & Identification of individual applying.
500
Name the 5 ways the Affordable Care Act will expand health care coverage?
What are Individual mandate, Small business tax incentives, medicaid expansion, premium subsidies & large employer mandate.
500
What is the penalty for not having insurance during the year of 2014?
What are $95 per adult, $47.50 per child (up to $285 for a family) or 1% of income, whichever is greater.
500
Name 3 of the six questions you want to ask yourself while facilitating the shopping experience for your customer's health care coverage.
What are: What is the premium? Deductable? What is the maximum amounth of money my customer might have to pay out of pocket during a plicy year? What are the specific health care needs of the individual applying? Are there services limited in the policy? & What services are excluded in this policy?
500
What functions and services is the Exchange responsible for?
What are: Develop & host website, Provide customer support & quality rating for QHPs, Determine eligibility & Tax Credits, review and certify QHPs, Highlight and provide consumers with information about products in the Healthplanfinder.
500
What are 5 of the 10 essential health benefits plans must include?
What are: Ambulatory & Emergency services, Hospitalization, maternity/newborn care, mental health/substance use disorder services, prescription drugs, rehabilitative/habilitative services & devices, lab services & chronic disease management, Pediatric services (including oral and vision care).