NYSOH Assistors Exam Actual Exam 2026 |
All Questions and Correct Answers |
Verified Answers | Just Released
What is the age limit for Child Health Plus? ---------CORRECT ANSWER-----------------
under 19
Are there co-pays and coinsurance or deductibles for CHP? ---------CORRECT
ANSWER-----------------No
What is the income guidelines for CHP? ---------CORRECT ANSWER-----------------no
income limit, premium contribution varies on household size and FPL
What makes you ineligible for CHP? ---------CORRECT ANSWER-----------------can't
be eligible for Medicaid, can't have other insurance, don't have access to or aren't
enrolled in NYSHIP
What is the FPL of CHP for no premium? ---------CORRECT ANSWER-----------------
<160%
,What is the QHP open enrollment period? ---------CORRECT ANSWER-----------------
November 1- January 31st
When QHP Enroll is completed, when does coverage begin?
Nov. 1-Dec. 15
Dec. 16- Jan 15
Jan 16-Jan 31 ---------CORRECT ANSWER-----------------Jan. 1
Feb 1
March 1
When are payments due for full pay QHP? ---------CORRECT ANSWER-----------------
consumers have a 10 day grace period for the first month and then 30 days every
month after
When are payments due for a subsidized QHP? ---------CORRECT ANSWER------------
-----consumers have a 10 day grace period for the first month and then 90 days
after that
What must quality rating include? ---------CORRECT ANSWER-----------------
effectiveness, access and availability of care, cost of care, use of frequency of
services, satisfaction
, What features does a QHP has to have? ---------CORRECT ANSWER-----------------
Adequate networks, quality ratings
What does the Platinum, Gold, Silver and Bronze pay? ---------CORRECT ANSWER---
--------------Platinum 90-10
Gold 80-20
Silver 70-30
Bronze 60-40
What are the QHP deductibles for the metal levels? ---------CORRECT ANSWER------
-----------Platinum 0
Gold $600
Silver $2000
Bronze $4000
What must all insurance offer across all metal levels? ---------CORRECT ANSWER----
-------------same benefits, same cost sharing
How can Standard QHP's vary? ---------CORRECT ANSWER-----------------premiums,
provider networks, formularies and quality ratings
All Questions and Correct Answers |
Verified Answers | Just Released
What is the age limit for Child Health Plus? ---------CORRECT ANSWER-----------------
under 19
Are there co-pays and coinsurance or deductibles for CHP? ---------CORRECT
ANSWER-----------------No
What is the income guidelines for CHP? ---------CORRECT ANSWER-----------------no
income limit, premium contribution varies on household size and FPL
What makes you ineligible for CHP? ---------CORRECT ANSWER-----------------can't
be eligible for Medicaid, can't have other insurance, don't have access to or aren't
enrolled in NYSHIP
What is the FPL of CHP for no premium? ---------CORRECT ANSWER-----------------
<160%
,What is the QHP open enrollment period? ---------CORRECT ANSWER-----------------
November 1- January 31st
When QHP Enroll is completed, when does coverage begin?
Nov. 1-Dec. 15
Dec. 16- Jan 15
Jan 16-Jan 31 ---------CORRECT ANSWER-----------------Jan. 1
Feb 1
March 1
When are payments due for full pay QHP? ---------CORRECT ANSWER-----------------
consumers have a 10 day grace period for the first month and then 30 days every
month after
When are payments due for a subsidized QHP? ---------CORRECT ANSWER------------
-----consumers have a 10 day grace period for the first month and then 90 days
after that
What must quality rating include? ---------CORRECT ANSWER-----------------
effectiveness, access and availability of care, cost of care, use of frequency of
services, satisfaction
, What features does a QHP has to have? ---------CORRECT ANSWER-----------------
Adequate networks, quality ratings
What does the Platinum, Gold, Silver and Bronze pay? ---------CORRECT ANSWER---
--------------Platinum 90-10
Gold 80-20
Silver 70-30
Bronze 60-40
What are the QHP deductibles for the metal levels? ---------CORRECT ANSWER------
-----------Platinum 0
Gold $600
Silver $2000
Bronze $4000
What must all insurance offer across all metal levels? ---------CORRECT ANSWER----
-------------same benefits, same cost sharing
How can Standard QHP's vary? ---------CORRECT ANSWER-----------------premiums,
provider networks, formularies and quality ratings
