CERTIFIED ENROLLER COVERED CALIFORNIA MIDTERM EXAM
NEWEST ACTUAL 2025/2026 WITH COMPLETE QUESTIONS
AND ANSWERS VERIFIED/GRADED A+.
Can undocumented individuals apply for their family members?
- ----Answers---Yes they can. Proof of immigration status is
only required for persons seeking to enrol in a Covered CA
health plan or Medi-Cal.
What is restricted scope Medi-Cal? - ----Answers---It is
limited to emergency services and is not considered minimum
essential coverage (MEC)
Will receiving financial assistance through Covered CA affect
the applicant's immigration status, or their chances of
becoming a lawful permanent resident or naturalized citizen? -
----Answers---It will not affect the applicant ONLY if the
individual receives long-term care in a nursing home or is
otherwise institutionalized in a long-term care facility paid for
by the government through the Medi-Cal program or if the
individual does not tell the truth on their application for health
coverage.
If the consumer is married and they are a victim of domestic
abuse or spousal abandonment, do they need to include their
spouse on the application? - ----Answers---No they do not
and they also do not need to file their income tax jointly.
,What is MAGI? - ----Answers---Modified Adjusted Gross
Income
What is a catastrophic plan also known as minimum coverage
plan? - ----Answers---Is a coverage plan for people:
- UNDER the age of 30,
- Provides health care services, with very few exceptions, only
after out-of-pocket maximum is met
- People age 30 or above who have a certificate of exemption
for hardship
- The out-of-pocket maximum is $9,100 for self-only coverage
- With the exception of preventive services and the first 3 non-
preventive doctor visits, a minimum coverage plan covers 0%
until the out-of-pocket maximum is met
- Financial assistance is not available for this type of plan
Which counties qualify for CCHIP (County Children's Health
Initiative Program)? - ----Answers---San Francisco, San
Mateo, and Santa Clara counties
True or False: Enrollees who receive premium assistance are
required to attest that they understand that payments made on
their behalf must be reconciled when they file their tax return
for the benefit year. - ----Answers---True
Dependent Coverage for individuals under the age of 26 can
enroll as a dependent in their parent's plan eve if they: - ----
Answers---- Get married
, - Live in or out of their parents home
- Have or adopt a child
- Start or leave school
- Are not claimed as a tax dependent
- Turn down an offer of job-based coverage if it is deemed
unaffordable and does not meet the minimum value standards
What is Medicare? - ----Answers---The federal health
insurnace program for people who are 65 or older, certain
younger eligible people with disabilities, and people with End-
Stage Renal Disease (ESRD)
Do consumers who are enrolled in Medicare Part A or Part C
meet the health insurance mandate? - ----Answers---Yes
they do
Does Covered CA sell Medicare Advantage plans; HMOs and
PPOs, Medicare Part D prescription drug plans, or Medigap
policies? - ----Answers---No they do not
Can consumers who receive Medicare also be eligible for
Medi-Cal? - ----Answers---Depends on their income and
assets, and may still apply through Covered CA
True or False: Consumers enrolled in Medicare cannot
purchase a Covered CA health plan. - ----Answers---True
NEWEST ACTUAL 2025/2026 WITH COMPLETE QUESTIONS
AND ANSWERS VERIFIED/GRADED A+.
Can undocumented individuals apply for their family members?
- ----Answers---Yes they can. Proof of immigration status is
only required for persons seeking to enrol in a Covered CA
health plan or Medi-Cal.
What is restricted scope Medi-Cal? - ----Answers---It is
limited to emergency services and is not considered minimum
essential coverage (MEC)
Will receiving financial assistance through Covered CA affect
the applicant's immigration status, or their chances of
becoming a lawful permanent resident or naturalized citizen? -
----Answers---It will not affect the applicant ONLY if the
individual receives long-term care in a nursing home or is
otherwise institutionalized in a long-term care facility paid for
by the government through the Medi-Cal program or if the
individual does not tell the truth on their application for health
coverage.
If the consumer is married and they are a victim of domestic
abuse or spousal abandonment, do they need to include their
spouse on the application? - ----Answers---No they do not
and they also do not need to file their income tax jointly.
,What is MAGI? - ----Answers---Modified Adjusted Gross
Income
What is a catastrophic plan also known as minimum coverage
plan? - ----Answers---Is a coverage plan for people:
- UNDER the age of 30,
- Provides health care services, with very few exceptions, only
after out-of-pocket maximum is met
- People age 30 or above who have a certificate of exemption
for hardship
- The out-of-pocket maximum is $9,100 for self-only coverage
- With the exception of preventive services and the first 3 non-
preventive doctor visits, a minimum coverage plan covers 0%
until the out-of-pocket maximum is met
- Financial assistance is not available for this type of plan
Which counties qualify for CCHIP (County Children's Health
Initiative Program)? - ----Answers---San Francisco, San
Mateo, and Santa Clara counties
True or False: Enrollees who receive premium assistance are
required to attest that they understand that payments made on
their behalf must be reconciled when they file their tax return
for the benefit year. - ----Answers---True
Dependent Coverage for individuals under the age of 26 can
enroll as a dependent in their parent's plan eve if they: - ----
Answers---- Get married
, - Live in or out of their parents home
- Have or adopt a child
- Start or leave school
- Are not claimed as a tax dependent
- Turn down an offer of job-based coverage if it is deemed
unaffordable and does not meet the minimum value standards
What is Medicare? - ----Answers---The federal health
insurnace program for people who are 65 or older, certain
younger eligible people with disabilities, and people with End-
Stage Renal Disease (ESRD)
Do consumers who are enrolled in Medicare Part A or Part C
meet the health insurance mandate? - ----Answers---Yes
they do
Does Covered CA sell Medicare Advantage plans; HMOs and
PPOs, Medicare Part D prescription drug plans, or Medigap
policies? - ----Answers---No they do not
Can consumers who receive Medicare also be eligible for
Medi-Cal? - ----Answers---Depends on their income and
assets, and may still apply through Covered CA
True or False: Consumers enrolled in Medicare cannot
purchase a Covered CA health plan. - ----Answers---True
