Indiana Insurance Navigator Exam 2026||
Actual Questions And Answers 100%
Correct
Where can a consumer create a Marketplace account? - ANSWER-healthcare.gov
Can a consumer have employer insurance and a FFM? - ANSWER-No.
QHP - ANSWER-Qualified Health Plans that are sold on the marketplace
Medicare Part A - ANSWER-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 - ANSWER-Certified Application Counselors. They can help people
purchase qualified health plans on marketplace. Pretty much the same thing as a
navigator.
Medicare Part B - ANSWER-The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services
and supplies.
Premium - ANSWER-Amount you pay monthly, quarterly, semiannually or annually to
purchase different types of insurance
Where can you apply for Indiana Medicaid Programs? - ANSWER-dfrbenefits.in.gov
Indiana Health Coverage Program (IHCP) - ANSWER-Umbrella term for several
programs through Medicaid, like CHIP and HIP
Deductible - ANSWER-Amount you must pay before you begin receiving any benefits
from your insurance company, Co-pay
cost sharing - ANSWER-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? - ANSWER-Yes
When can an immigrant get Medicaid? - ANSWER-Five years after established
citizenship
COBRA - ANSWER-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.
Hoosier Healthwise - ANSWER-Low income pregnant women, and children under 19
Presumptive Eligibility (PE) - ANSWER-Allows Medicaid benefits to begin early before
official enrollment and is declared by a hospital or mental health facility.
Managed Care Entity (MCE) - ANSWER-Are health plans offered through Medicaid
How many MCEs are there in Indiana? - ANSWER-4
What are the 4 MCEs in Indiana? - ANSWER-Anthem, Caresource, MDWise and MHS
When can a HIP participant change their MCE? - ANSWER-Only at their annual
redetermination
Does a HIP participant need to change their MCE every year? - ANSWER-No
Age group for HIP - ANSWER-19-64
Income limit for HIP - ANSWER-Under 138% of the federal poverty limit
HIP - ANSWER-Healthy Indiana Plan (Medicaid)
What is the HIP annual deductible? - ANSWER-$2,500
When does HIP coverage begin? - ANSWER-The first of the month that the payment
was made
MAGI - ANSWER-Modified Adjusted Gross Income
What is MAGI? - ANSWER-A way medicaid and FFM count income.
Does MAGI count gross or net income? - ANSWER-Gross (before taxes)
MEC - ANSWER-Minimum Essential Coverage
What is MEC? - ANSWER-The type of coverage an individual must have to meet the
Affordable Care Act requirements
EHB - ANSWER-Essential Health Benefits
What is EHB? - ANSWER-They are ten benefits that must be covered by individual
insurance policies
Actual Questions And Answers 100%
Correct
Where can a consumer create a Marketplace account? - ANSWER-healthcare.gov
Can a consumer have employer insurance and a FFM? - ANSWER-No.
QHP - ANSWER-Qualified Health Plans that are sold on the marketplace
Medicare Part A - ANSWER-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 - ANSWER-Certified Application Counselors. They can help people
purchase qualified health plans on marketplace. Pretty much the same thing as a
navigator.
Medicare Part B - ANSWER-The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services
and supplies.
Premium - ANSWER-Amount you pay monthly, quarterly, semiannually or annually to
purchase different types of insurance
Where can you apply for Indiana Medicaid Programs? - ANSWER-dfrbenefits.in.gov
Indiana Health Coverage Program (IHCP) - ANSWER-Umbrella term for several
programs through Medicaid, like CHIP and HIP
Deductible - ANSWER-Amount you must pay before you begin receiving any benefits
from your insurance company, Co-pay
cost sharing - ANSWER-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? - ANSWER-Yes
When can an immigrant get Medicaid? - ANSWER-Five years after established
citizenship
COBRA - ANSWER-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.
Hoosier Healthwise - ANSWER-Low income pregnant women, and children under 19
Presumptive Eligibility (PE) - ANSWER-Allows Medicaid benefits to begin early before
official enrollment and is declared by a hospital or mental health facility.
Managed Care Entity (MCE) - ANSWER-Are health plans offered through Medicaid
How many MCEs are there in Indiana? - ANSWER-4
What are the 4 MCEs in Indiana? - ANSWER-Anthem, Caresource, MDWise and MHS
When can a HIP participant change their MCE? - ANSWER-Only at their annual
redetermination
Does a HIP participant need to change their MCE every year? - ANSWER-No
Age group for HIP - ANSWER-19-64
Income limit for HIP - ANSWER-Under 138% of the federal poverty limit
HIP - ANSWER-Healthy Indiana Plan (Medicaid)
What is the HIP annual deductible? - ANSWER-$2,500
When does HIP coverage begin? - ANSWER-The first of the month that the payment
was made
MAGI - ANSWER-Modified Adjusted Gross Income
What is MAGI? - ANSWER-A way medicaid and FFM count income.
Does MAGI count gross or net income? - ANSWER-Gross (before taxes)
MEC - ANSWER-Minimum Essential Coverage
What is MEC? - ANSWER-The type of coverage an individual must have to meet the
Affordable Care Act requirements
EHB - ANSWER-Essential Health Benefits
What is EHB? - ANSWER-They are ten benefits that must be covered by individual
insurance policies
