Indiana Insurance Navigator Exam
Questions and Answers
Where can a consumer create a Marketplace account? - Correct Answers -
healthcare.gov
Can a consumer have employer insurance and a FFM? - Correct Answers -No.
QHP - Correct Answers -Qualified Health Plans that are sold on the marketplace
Medicare Part A - Correct Answers -The part of the Medicare program that pays for
hospitalization, care in a skilled nursing facility, home health care, and hospice care.
What is a CAC - Correct Answers -Certified Application Counselors. They can help
people purchase qualified health plans on marketplace. Pretty much the same thing as
a navigator.
Medicare Part B - Correct Answers -The part of the Medicare program that pays for
physician services, outpatient hospital services, durable medical equipment, and other
services and supplies.
Premium - Correct Answers -Amount you pay monthly, quarterly, semiannually or
annually to purchase different types of insurance
Deductible - Correct Answers -Amount you must pay before you begin receiving any
benefits from your insurance company, Co-pay
Consumers with questions about their FFM plan should call - Correct Answers -The
Federal Call Center
Retroactive Eligibility for Medicaid can go back how far? - Correct Answers -3 months
before applying. The consumer must have been considered eligible for those three
months in order to be considered.
Are Authorized Representatives required to be navigators? - Correct Answers -No
How many days after a medicaid decision does a consumer have to appeal? - Correct
Answers -33 days
, cost sharing - Correct Answers -a situation where insured individuals pay a portion of
the healthcare costs, such as deductibles, coinsurance or co-payments
Can a consumer have Medicare Part A and B? - Correct Answers -Yes
When can an immigrant get Medicaid? - Correct Answers -Five years after established
citizenship
COBRA - Correct Answers -Consolidated Omnibus Budget Reconciliation Act; law to
provide terminated employees or those who lose insurance coverage because of
reduced work to be able to buy group insurance for themselves and their families for a
limited amount of time.
Where can you apply for Indiana Medicaid Programs? - Correct Answers -
dfrbenefits.in.gov
Indiana Health Coverage Program (IHCP) - Correct Answers -Umbrella term for several
programs through Medicaid, like CHIP and HIP
Hoosier Healthwise - Correct Answers -Low income pregnant women, and children
under 19
Presumptive Eligibility (PE) - Correct Answers -Allows Medicaid benefits to begin early
before official enrollment and is declared by a hospital or mental health facility.
Managed Care Entity (MCE) - Correct Answers -Are health plans offered through
Medicaid
How many MCEs are there in Indiana? - Correct Answers -4
What are the 4 MCEs in Indiana? - Correct Answers -Anthem, Caresource, MDWise
and MHS
When can a HIP participant change their MCE? - Correct Answers -Only at their annual
redetermination
Does a HIP participant need to change their MCE every year? - Correct Answers -No
Age group for HIP - Correct Answers -19-64
Income limit for HIP - Correct Answers -Under 138% of the federal poverty limit
HIP - Correct Answers -Healthy Indiana Plan (Medicaid)
What is the HIP annual deductible? - Correct Answers -$2,500
Questions and Answers
Where can a consumer create a Marketplace account? - Correct Answers -
healthcare.gov
Can a consumer have employer insurance and a FFM? - Correct Answers -No.
QHP - Correct Answers -Qualified Health Plans that are sold on the marketplace
Medicare Part A - Correct Answers -The part of the Medicare program that pays for
hospitalization, care in a skilled nursing facility, home health care, and hospice care.
What is a CAC - Correct Answers -Certified Application Counselors. They can help
people purchase qualified health plans on marketplace. Pretty much the same thing as
a navigator.
Medicare Part B - Correct Answers -The part of the Medicare program that pays for
physician services, outpatient hospital services, durable medical equipment, and other
services and supplies.
Premium - Correct Answers -Amount you pay monthly, quarterly, semiannually or
annually to purchase different types of insurance
Deductible - Correct Answers -Amount you must pay before you begin receiving any
benefits from your insurance company, Co-pay
Consumers with questions about their FFM plan should call - Correct Answers -The
Federal Call Center
Retroactive Eligibility for Medicaid can go back how far? - Correct Answers -3 months
before applying. The consumer must have been considered eligible for those three
months in order to be considered.
Are Authorized Representatives required to be navigators? - Correct Answers -No
How many days after a medicaid decision does a consumer have to appeal? - Correct
Answers -33 days
, cost sharing - Correct Answers -a situation where insured individuals pay a portion of
the healthcare costs, such as deductibles, coinsurance or co-payments
Can a consumer have Medicare Part A and B? - Correct Answers -Yes
When can an immigrant get Medicaid? - Correct Answers -Five years after established
citizenship
COBRA - Correct Answers -Consolidated Omnibus Budget Reconciliation Act; law to
provide terminated employees or those who lose insurance coverage because of
reduced work to be able to buy group insurance for themselves and their families for a
limited amount of time.
Where can you apply for Indiana Medicaid Programs? - Correct Answers -
dfrbenefits.in.gov
Indiana Health Coverage Program (IHCP) - Correct Answers -Umbrella term for several
programs through Medicaid, like CHIP and HIP
Hoosier Healthwise - Correct Answers -Low income pregnant women, and children
under 19
Presumptive Eligibility (PE) - Correct Answers -Allows Medicaid benefits to begin early
before official enrollment and is declared by a hospital or mental health facility.
Managed Care Entity (MCE) - Correct Answers -Are health plans offered through
Medicaid
How many MCEs are there in Indiana? - Correct Answers -4
What are the 4 MCEs in Indiana? - Correct Answers -Anthem, Caresource, MDWise
and MHS
When can a HIP participant change their MCE? - Correct Answers -Only at their annual
redetermination
Does a HIP participant need to change their MCE every year? - Correct Answers -No
Age group for HIP - Correct Answers -19-64
Income limit for HIP - Correct Answers -Under 138% of the federal poverty limit
HIP - Correct Answers -Healthy Indiana Plan (Medicaid)
What is the HIP annual deductible? - Correct Answers -$2,500
