Indiana Navigator Test Study Guide Questions
With Verified Answers 2025-2026
What is considered a conflict of interest for an Indiana Navigator - ANSWER-having a
business relationship with an insurance carrier
receiving commission from an insurance company for enrolling consumers in specific
plans
receiving free or discounted travel from an insurance carrier
_________ are base amounts that a member pays for services prior to their health
insurance paying for coverage - ANSWER-deductible
which of the following does an individual not have appeal rights for - ANSWER-
presumptive eligibility determinations
what service is not offered under the family planning eligibility program - ANSWER-
fertility counseling
what services are offered under family planning eligibility - ANSWER-initial diagnosis
treatment for STDs and STIs
emergency contraceptives
hysteroscopic sterilization with an implant device
what health coverage program is considered Minimum Essential Coverage - ANSWER-
coverage under a grandfathered plan
example of exemption from the requirement to maintain MEC does include - ANSWER-
an individual with membership in a federally recognized Indiana Tribe
an individual with household income below filing limit
an individual determined ineligible for Medicaid because their state did not expand
eligibility under the ACA
what are the benefits of HIP plus members - ANSWER-comprehensive benefits,
including vision, dental, and chiropractic coverage
HIP members will have the opportunity at the end of each year to switch to another
health plan for the following year. when will these changes become effective -
ANSWER-January 1st
to be eligible for HIP, your income must be under what percent of the federal poverty
level - ANSWER-138%
HIP basic and state plan basic - ANSWER-members have copays on most services
, what is the age range for eligibility for HIP - ANSWER-19-64
The fast track payment goes toward what - ANSWER-a members first power account
contribution
what are the responsibilities are required for Indiana Navigator certification - ANSWER-
assessing the level and type of consumer need
assisting the enrollment
checking consumer enrollment status
if an Indiana navigator does not comply with or meet state requirements, the Indiana
department of insurance outlines; what are actions that take place - ANSWER-suspend
certification
revoke certification permanently
issue a cease and desist order
what are the reasons individuals would dis-enroll from HIP - ANSWER-became eligible
for other Medicaid category (disability,aged)
moved out of state
failed to complete redetermination
how many months of HIP coverage are tobacco users given to stop tobacco use in
order to avoid a 50% increase in their POWER account contribution amount for the next
year? - ANSWER-12 months
which HIP plan does not cover substance use disorder treatment - ANSWER-none
which HIP plan covers a max of 60 visits annually of physical, speech, and occupational
therapies - ANSWER-HIP State plan
an application organization has ____ days following the expiration date in which to
complete the renewal application - ANSWER-30
the patient protection and ACA was passed in - ANSWER-2010
an Indiana navigator must complete the following in order to renew his/her certification -
ANSWER-complete the renewal process within one week of the current certification
expiration
what is the different between and Indiana navigator and a federal navigator - ANSWER-
a federal navigator receives state funding, whereas an Indiana navigator does not.
which HIP plan covers transportation - ANSWER-HIP State plan
a member wishing to change health plans may do so by calling 877-GET-HIP-9 during
what time period - ANSWER-November 1st- December 15th
With Verified Answers 2025-2026
What is considered a conflict of interest for an Indiana Navigator - ANSWER-having a
business relationship with an insurance carrier
receiving commission from an insurance company for enrolling consumers in specific
plans
receiving free or discounted travel from an insurance carrier
_________ are base amounts that a member pays for services prior to their health
insurance paying for coverage - ANSWER-deductible
which of the following does an individual not have appeal rights for - ANSWER-
presumptive eligibility determinations
what service is not offered under the family planning eligibility program - ANSWER-
fertility counseling
what services are offered under family planning eligibility - ANSWER-initial diagnosis
treatment for STDs and STIs
emergency contraceptives
hysteroscopic sterilization with an implant device
what health coverage program is considered Minimum Essential Coverage - ANSWER-
coverage under a grandfathered plan
example of exemption from the requirement to maintain MEC does include - ANSWER-
an individual with membership in a federally recognized Indiana Tribe
an individual with household income below filing limit
an individual determined ineligible for Medicaid because their state did not expand
eligibility under the ACA
what are the benefits of HIP plus members - ANSWER-comprehensive benefits,
including vision, dental, and chiropractic coverage
HIP members will have the opportunity at the end of each year to switch to another
health plan for the following year. when will these changes become effective -
ANSWER-January 1st
to be eligible for HIP, your income must be under what percent of the federal poverty
level - ANSWER-138%
HIP basic and state plan basic - ANSWER-members have copays on most services
, what is the age range for eligibility for HIP - ANSWER-19-64
The fast track payment goes toward what - ANSWER-a members first power account
contribution
what are the responsibilities are required for Indiana Navigator certification - ANSWER-
assessing the level and type of consumer need
assisting the enrollment
checking consumer enrollment status
if an Indiana navigator does not comply with or meet state requirements, the Indiana
department of insurance outlines; what are actions that take place - ANSWER-suspend
certification
revoke certification permanently
issue a cease and desist order
what are the reasons individuals would dis-enroll from HIP - ANSWER-became eligible
for other Medicaid category (disability,aged)
moved out of state
failed to complete redetermination
how many months of HIP coverage are tobacco users given to stop tobacco use in
order to avoid a 50% increase in their POWER account contribution amount for the next
year? - ANSWER-12 months
which HIP plan does not cover substance use disorder treatment - ANSWER-none
which HIP plan covers a max of 60 visits annually of physical, speech, and occupational
therapies - ANSWER-HIP State plan
an application organization has ____ days following the expiration date in which to
complete the renewal application - ANSWER-30
the patient protection and ACA was passed in - ANSWER-2010
an Indiana navigator must complete the following in order to renew his/her certification -
ANSWER-complete the renewal process within one week of the current certification
expiration
what is the different between and Indiana navigator and a federal navigator - ANSWER-
a federal navigator receives state funding, whereas an Indiana navigator does not.
which HIP plan covers transportation - ANSWER-HIP State plan
a member wishing to change health plans may do so by calling 877-GET-HIP-9 during
what time period - ANSWER-November 1st- December 15th
