NAVIGATOR REVIEW QUESTIONS|| 72
QUESTIONS AND ANSWERS (GRADED
A+)
T/F: Navigators working in the market place should keep a copy of the consumer's
documents for future use - ANSWER-FALSE
T/F: The role of an Indiana Navigator is to provide the consumer with the fair and
accurate information about health coverage options - ANSWER-TRUE
What are NOT requirements to be an Indiana Navigator? - ANSWER-Indiana Residency
T/F: Yearly renewal fee currently for Indiana will be $50 - ANSWER-TRUE
T/F: Indiana Navigators and AO's should expect to get a yearly bonus from Insurance
Companies - ANSWER-FALSE
T/F: AO or Navigators can accept goods or advertisement with a value of less than
$100 per insurance issuer and per year. - ANSWER-TRUE
T/F: As an Indiana Navigator it is your job to suggest the best manage care network
based on your knowledge - ANSWER-FALSE
What are some examples of complaints that should be reported to the IDOI first? -
ANSWER-Incomplete applications and inaccurate information given to clients
What is an item that is not counted as an asset? - ANSWER-An individual's home
Individuals who are not citizens of the US who may qualify for full Medicaid based on
their immigration status if - ANSWER-Eligible for Medicaid if residing in the US prior to
8/22/1996
When completing the Authorized Representative form, the individual designates what
functions the representative is authorized to complete? - ANSWER-Signing application,
speak on applicants behalf, provide all required proof of information necessary to
determine eligibility for benefits, and receive the notice of application decision
Upon online application completion, a summary of the submitted application data will be
provided. Applicants can go online to http://www.in.gov.fssa/dfr/2999.htm and enter
what information? - ANSWER-case#, case name, DOB, and last 4-digits of SSN
, If a consumer has a question concerning the plan they chose, who should they call for
answers to their concerns? - ANSWER-The plan they selected
What is NOT an example of how the IDOI may respond to complaints? - ANSWER-Up
to five years of imprisonment
In what ways can agents and brokers help consumers with enrolling? - ANSWER-
Marketplace website or insurance websites
If a client states that they called Anthem to complain about the information on the
website that does not match the information given to them but they would not help them,
who should you direct them to? - ANSWER-IDOI
T/F: We should be afraid to refer a consumer to someone else if they have needs
outside of the Indiana Navigators scope of training - ANSWER-FALSE
What are the two affordability programs created by the ACA? - ANSWER-Cost Sharing
Reduction (CSR) and Premium Tax Credit (PTC)
Name the two ways in Indiana to purchase health insurance - ANSWER-Marketplace
website and insurance website
T/F: ACA concerning the individual mandate requires all must maintain health coverage
for themselves and their dependents - ANSWER-TRUE
What does MEC stand for? - ANSWER-Minimum Essential Coverage
Does Family Planning Medicaid qualify for MEC? - ANSWER-No
What must the Indiana navigator know to obtain information using the FSSA Web Portal
in regards to a client's case? - ANSWER-The case number, the last name (for head of
household), DOB (for head of household), and the last 4-digits of the SSN (for the head
of household)
T/F: To check a client's application status through the FSSA Agency portal, the Indiana
Navigator must first submit the Authorization for Case Status Information form (located
at the same link), to be completed and signed by the client - ANSWER-TRUE
How and who do I file a complaint against as an Indiana Navigator? - ANSWER-visit
http://www.in.gov.idoi/2547.htm
T/F: Medicaid eligibility determinations are made within 45 days and for disability, 90
days - ANSWER-TRUE
What are some examples of acceptable paper documentation? - ANSWER-Wage
receipts, wage statements, employment verifications
QUESTIONS AND ANSWERS (GRADED
A+)
T/F: Navigators working in the market place should keep a copy of the consumer's
documents for future use - ANSWER-FALSE
T/F: The role of an Indiana Navigator is to provide the consumer with the fair and
accurate information about health coverage options - ANSWER-TRUE
What are NOT requirements to be an Indiana Navigator? - ANSWER-Indiana Residency
T/F: Yearly renewal fee currently for Indiana will be $50 - ANSWER-TRUE
T/F: Indiana Navigators and AO's should expect to get a yearly bonus from Insurance
Companies - ANSWER-FALSE
T/F: AO or Navigators can accept goods or advertisement with a value of less than
$100 per insurance issuer and per year. - ANSWER-TRUE
T/F: As an Indiana Navigator it is your job to suggest the best manage care network
based on your knowledge - ANSWER-FALSE
What are some examples of complaints that should be reported to the IDOI first? -
ANSWER-Incomplete applications and inaccurate information given to clients
What is an item that is not counted as an asset? - ANSWER-An individual's home
Individuals who are not citizens of the US who may qualify for full Medicaid based on
their immigration status if - ANSWER-Eligible for Medicaid if residing in the US prior to
8/22/1996
When completing the Authorized Representative form, the individual designates what
functions the representative is authorized to complete? - ANSWER-Signing application,
speak on applicants behalf, provide all required proof of information necessary to
determine eligibility for benefits, and receive the notice of application decision
Upon online application completion, a summary of the submitted application data will be
provided. Applicants can go online to http://www.in.gov.fssa/dfr/2999.htm and enter
what information? - ANSWER-case#, case name, DOB, and last 4-digits of SSN
, If a consumer has a question concerning the plan they chose, who should they call for
answers to their concerns? - ANSWER-The plan they selected
What is NOT an example of how the IDOI may respond to complaints? - ANSWER-Up
to five years of imprisonment
In what ways can agents and brokers help consumers with enrolling? - ANSWER-
Marketplace website or insurance websites
If a client states that they called Anthem to complain about the information on the
website that does not match the information given to them but they would not help them,
who should you direct them to? - ANSWER-IDOI
T/F: We should be afraid to refer a consumer to someone else if they have needs
outside of the Indiana Navigators scope of training - ANSWER-FALSE
What are the two affordability programs created by the ACA? - ANSWER-Cost Sharing
Reduction (CSR) and Premium Tax Credit (PTC)
Name the two ways in Indiana to purchase health insurance - ANSWER-Marketplace
website and insurance website
T/F: ACA concerning the individual mandate requires all must maintain health coverage
for themselves and their dependents - ANSWER-TRUE
What does MEC stand for? - ANSWER-Minimum Essential Coverage
Does Family Planning Medicaid qualify for MEC? - ANSWER-No
What must the Indiana navigator know to obtain information using the FSSA Web Portal
in regards to a client's case? - ANSWER-The case number, the last name (for head of
household), DOB (for head of household), and the last 4-digits of the SSN (for the head
of household)
T/F: To check a client's application status through the FSSA Agency portal, the Indiana
Navigator must first submit the Authorization for Case Status Information form (located
at the same link), to be completed and signed by the client - ANSWER-TRUE
How and who do I file a complaint against as an Indiana Navigator? - ANSWER-visit
http://www.in.gov.idoi/2547.htm
T/F: Medicaid eligibility determinations are made within 45 days and for disability, 90
days - ANSWER-TRUE
What are some examples of acceptable paper documentation? - ANSWER-Wage
receipts, wage statements, employment verifications
