Name: Score:
61 Multiple choice questions
Term 1 of 61
HIP
• Provide consumer assistance
• Be paid by their employer
• Explain which plans a provider accepts
• Securely dispose of ppi without notifying the consumer
for members with household income less than or equal to 100% FPL
-meet min coverage standards
costsharing: must pay copayments for doc visits, hospital stays, and prescriptions
Program adults 19-64
Can earn up to 138% FPL
Two levels
o Basic - No monthly premium but copays
o Plus - Monthly premium with no copays
The amount you pay to the insurance company for coverage
Definition 2 of 61
For individuals with complec medical or behavioral conditions
( medically frail) or low-income parents/caretakers
•Benefits: Comprehensive, with some additional benefits including vision, dental, and enhanced
behavioral health services
•Cost-sharing: HIP Plus OR HIP Basic cost-sharing
HIP state
MED Works
Care Select
Who cannot be an IN Navigator
,Term 3 of 61
FFM Federally facilitated Marketplace
open enrollment 11/01-1/2
open enrollment 11/01-12/15
open enrollment 11/01-2/22
open enrollment 21/31-12/15
Term 4 of 61
If consumer requests information on an insurance company, refer to:
Marketplace you can cancel at anytime
medicaid = NO
• No pre-existing condition exclusions
• No lifetime caps
• Guaranteed renewable
• Insurance company's website
• Healthcare.gov
• IDOI
refer them to the QHP Summary of Benefits & Coverage
Term 5 of 61
how many days does it take for a HIP application to be fully processed
45 days
30 days
10 days
60 days
, Term 6 of 61
MED Works
For individuals with complec medical or behavioral conditions
( medically frail) or low-income parents/caretakers
•Benefits: Comprehensive, with some additional benefits including vision, dental, and
enhanced behavioral health services
•Cost-sharing: HIP Plus OR HIP Basic cost-sharing
1. Direct them to take their complaint to their insurance company first.
2. If their complaint is not resolved by their insurance company, direct them to take
complaint to IDOI.
Covers disabled people who work
Higher income thresholds
Consumers may work part time, may pay premium
Marketplace
Definition 7 of 61
Low income health care program that offers vision, dental, mental health, family planning,
hospitalization
Full Service Medicaid
Managed Medicaid
Traditional Medicaid
Star Medicaid
Hoosier Healthwise
61 Multiple choice questions
Term 1 of 61
HIP
• Provide consumer assistance
• Be paid by their employer
• Explain which plans a provider accepts
• Securely dispose of ppi without notifying the consumer
for members with household income less than or equal to 100% FPL
-meet min coverage standards
costsharing: must pay copayments for doc visits, hospital stays, and prescriptions
Program adults 19-64
Can earn up to 138% FPL
Two levels
o Basic - No monthly premium but copays
o Plus - Monthly premium with no copays
The amount you pay to the insurance company for coverage
Definition 2 of 61
For individuals with complec medical or behavioral conditions
( medically frail) or low-income parents/caretakers
•Benefits: Comprehensive, with some additional benefits including vision, dental, and enhanced
behavioral health services
•Cost-sharing: HIP Plus OR HIP Basic cost-sharing
HIP state
MED Works
Care Select
Who cannot be an IN Navigator
,Term 3 of 61
FFM Federally facilitated Marketplace
open enrollment 11/01-1/2
open enrollment 11/01-12/15
open enrollment 11/01-2/22
open enrollment 21/31-12/15
Term 4 of 61
If consumer requests information on an insurance company, refer to:
Marketplace you can cancel at anytime
medicaid = NO
• No pre-existing condition exclusions
• No lifetime caps
• Guaranteed renewable
• Insurance company's website
• Healthcare.gov
• IDOI
refer them to the QHP Summary of Benefits & Coverage
Term 5 of 61
how many days does it take for a HIP application to be fully processed
45 days
30 days
10 days
60 days
, Term 6 of 61
MED Works
For individuals with complec medical or behavioral conditions
( medically frail) or low-income parents/caretakers
•Benefits: Comprehensive, with some additional benefits including vision, dental, and
enhanced behavioral health services
•Cost-sharing: HIP Plus OR HIP Basic cost-sharing
1. Direct them to take their complaint to their insurance company first.
2. If their complaint is not resolved by their insurance company, direct them to take
complaint to IDOI.
Covers disabled people who work
Higher income thresholds
Consumers may work part time, may pay premium
Marketplace
Definition 7 of 61
Low income health care program that offers vision, dental, mental health, family planning,
hospitalization
Full Service Medicaid
Managed Medicaid
Traditional Medicaid
Star Medicaid
Hoosier Healthwise
