INDIANA NAVIGATOR TEST QUESTIONS
AND ANSWERS (GRADED A)
True or False: An Indiana Navigator can recommend payment plans? - ANSWER-False
- They can only say what plans most people use, as well as give information about the
plans themselves
Where can customers go for information about these health plans:
- Affordable Care Act
- General health insurance
- Consumer complaints
- Language resources
- Disability resources - ANSWER-- Affordable care act = cms.gov or healthcare.gov
- General health insurance = glossary of commonly used terms
- Complaints = Health insurance company (check insurance card) or IDOI (in.gov/idoi)
or FFM for FFM coverage (healthcare.gov)
- Language resources = FFM (for FFM coverage) or DFR (for IHCP coverage,
dfrbenefits.in)
- Disability resources = FFM or area agencies on aging or division of disability and
rehab services
AO means... - ANSWER-Application organization
- Must be registered
Navigators must be... - ANSWER-- Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - ANSWER-- Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
How many hours of training must navigators complete when completing their renewal? -
ANSWER-2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - ANSWER-- Indiana Navigators = IDOI
- Health Insurance Companies = Contact company first, then IDOI
- FFM = Contact FFM at healthcare.gov
, Indiana Health Coverage Programs (IHCPs) - ANSWER-- State funded
- Free or low-cost health insurance to low-income people
- Ex. children, adults, parents, caretakers, pregnant people, aged, blind, disabled
Hoosier Healthwise - ANSWER-Includes:
- Pregnant women
- Children up to 19 years old
= Package A is children of low income households
= Package C is CHIP for children (ONLY CHILDREN) of higher income families
- Covers doctor visits, meds, mental healthcare, dental care, surgeries, family planning
- Little or no cost
Healthy Indiana Plan (HIP) - ANSWER-- Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
- Three possible plans called HIP: Plus, Basic, State Plan
- Annual deductible
- Copays for ED
- POWER Account can help fund the annual deductible
HIP Maternity - ANSWER-- Income at or below 138% FPL
- No cost sharing for pregnant members (ex. no POWER account contributions)
- Full coverage
HIP - Gateway to Work - ANSWER-- Requires all able-bodied (with some exceptions,
ex. students, chronically homeless, already employed) people to work or complete
qualifying activities
An Indiana Navigator must report a change in name or contact information to IDOI no
later than... - ANSWER-30 days after the change occurs
It is acceptable for an Indiana Navigator to give the following plan selection advice... -
ANSWER-Help a consumer:
- Compare plan benefits
- Estimate out-of-pocket expenses
- Consider healthcare use
HIP Basic - Copayment Amounts - ANSWER-- Outpatient = $4
- Inpatient = $75
- Preferred drugs = $4
- Non-preferred drugs = $8
- Non-emergency ER visit = $8 (same for HIP Plus members)
HIP - Fast Track Payments - ANSWER-- Allows eligible Hoosiers to expedite the start of
their coverage in HIP Plus
- $10
AND ANSWERS (GRADED A)
True or False: An Indiana Navigator can recommend payment plans? - ANSWER-False
- They can only say what plans most people use, as well as give information about the
plans themselves
Where can customers go for information about these health plans:
- Affordable Care Act
- General health insurance
- Consumer complaints
- Language resources
- Disability resources - ANSWER-- Affordable care act = cms.gov or healthcare.gov
- General health insurance = glossary of commonly used terms
- Complaints = Health insurance company (check insurance card) or IDOI (in.gov/idoi)
or FFM for FFM coverage (healthcare.gov)
- Language resources = FFM (for FFM coverage) or DFR (for IHCP coverage,
dfrbenefits.in)
- Disability resources = FFM or area agencies on aging or division of disability and
rehab services
AO means... - ANSWER-Application organization
- Must be registered
Navigators must be... - ANSWER-- Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - ANSWER-- Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
How many hours of training must navigators complete when completing their renewal? -
ANSWER-2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - ANSWER-- Indiana Navigators = IDOI
- Health Insurance Companies = Contact company first, then IDOI
- FFM = Contact FFM at healthcare.gov
, Indiana Health Coverage Programs (IHCPs) - ANSWER-- State funded
- Free or low-cost health insurance to low-income people
- Ex. children, adults, parents, caretakers, pregnant people, aged, blind, disabled
Hoosier Healthwise - ANSWER-Includes:
- Pregnant women
- Children up to 19 years old
= Package A is children of low income households
= Package C is CHIP for children (ONLY CHILDREN) of higher income families
- Covers doctor visits, meds, mental healthcare, dental care, surgeries, family planning
- Little or no cost
Healthy Indiana Plan (HIP) - ANSWER-- Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
- Three possible plans called HIP: Plus, Basic, State Plan
- Annual deductible
- Copays for ED
- POWER Account can help fund the annual deductible
HIP Maternity - ANSWER-- Income at or below 138% FPL
- No cost sharing for pregnant members (ex. no POWER account contributions)
- Full coverage
HIP - Gateway to Work - ANSWER-- Requires all able-bodied (with some exceptions,
ex. students, chronically homeless, already employed) people to work or complete
qualifying activities
An Indiana Navigator must report a change in name or contact information to IDOI no
later than... - ANSWER-30 days after the change occurs
It is acceptable for an Indiana Navigator to give the following plan selection advice... -
ANSWER-Help a consumer:
- Compare plan benefits
- Estimate out-of-pocket expenses
- Consider healthcare use
HIP Basic - Copayment Amounts - ANSWER-- Outpatient = $4
- Inpatient = $75
- Preferred drugs = $4
- Non-preferred drugs = $8
- Non-emergency ER visit = $8 (same for HIP Plus members)
HIP - Fast Track Payments - ANSWER-- Allows eligible Hoosiers to expedite the start of
their coverage in HIP Plus
- $10
