Indiana Navigator Test Study Guide 2026
(New 2026/ 2027 Update) Questions &
Answers 100% Correct (Verified Solutions)
{Grade A}
What are the categories of the Medicare Savings Program and what are they
dependent on? - Correct answer The four categories are dependent on income and
worker status:
1. Qualified Medicare Beneficiary (QMB): income threshold of 150% FPL
-Single: $1518/mo; resource limit of $7560
-Married: $2058/mo; resource limit of $11340
-Benefits: pays Medicare Part A & B Premiums, co-pays, deductibles, and coinsurance
2. Specified Low-Income Medicare Beneficiary (SLMB): income threshold of 170% FPL
-Single: $1720/mo; resource limit $7560
-Married: $2332/mo; resource limit $11340
-Benefits: Pays Part B Premiums
3. Qualified Individual (QI): income threshold of 185% FPL
-Single: $1872/mo; resource limit $7560
-Married: $2538/mo; resource limit $11340
,-Benefits: Pays Part B Premiums
4. Qualified Disabled Worker (QDW): income threshold of 200% FPL
-Single: $2024/mo; resource limit $7560
-Married: $2744/mo; resource limit $11340
-Benefits: Payment limited to payment of the monthly premium for Part A Medicare
What is the Family Planning Services for Men and Women through Medicaid? - Correct
answer This non-MEC (Minimum Essential Coverage) program's goal is to
prevent/delay pregnancy by providing family planning services and supplies, as well as
diagnosing and treating STDs.
Eligibility requirements for Family Planning Services for Men & Women - Correct
answer 1. They do not qualify for any other Medicaid category (except pregnant women
losing benefits after birth are assessed automatically)
2. income at or below 141% FPL ($1427 1, $1935 2)
3. citizenship/immigration eligibility requirements
4. not pregnant
5. have not had hysterectomy or sterilization procedure
,What is the Breast and Cervical Cancer Program? - Correct answer A Medicaid
program that provides coverage to women with breast or cervical cancer.
What are the eligibility requirements for the Breast and Cervical Cancer Program? -
Correct answer 1. diagnosed with breast or cervical cancer
2. age 19-64
3. not otherwise eligible for Medicaid
4. income less than 200% FPL
3. needs treatment for breast/cervical cancer
4. no health insurance covers their treatment
Right Choices Program - Correct answer Indiana's Restricted Card Program that locks
in members who utilize or abuse services by using them extensively more than their
peers. They become locked-in, or can only use, any or all of the following:
Primary Care Provider, pharmacy, hospital (non-emergency visits), approved specialty
providers
, What is the End Stage Renal Disease (ESRD) Program? - Correct answer A Medicaid
program for individuals diagnosed with ESRD (a waiver demonstration) covered with
the Aged, Blind, and Disabled category. Medicare is primary, Medicaid is secondary.
Benefit Package A is delivered through FFS (fee-for-service) or traditional medicaid
model.
Eligibility for the ESRD Program includes: - Correct answer 1. diagnosed with ESRD
2. approved to receive Medicaid Part A and B
3. Limited resources
4. Non-MAGI income is over 150% FPL, with no upper limit for members who were on
Medicaid with a spend down as of May 31, 2014
5. Non-MAGI income is between 150% and 300% FPL if not on Medicaid with a spend
down as of May 31, 2014
6. not institutionalized
7. meet all non-financial Medicaid requirements
8. not eligible for any other Medicaid
(New 2026/ 2027 Update) Questions &
Answers 100% Correct (Verified Solutions)
{Grade A}
What are the categories of the Medicare Savings Program and what are they
dependent on? - Correct answer The four categories are dependent on income and
worker status:
1. Qualified Medicare Beneficiary (QMB): income threshold of 150% FPL
-Single: $1518/mo; resource limit of $7560
-Married: $2058/mo; resource limit of $11340
-Benefits: pays Medicare Part A & B Premiums, co-pays, deductibles, and coinsurance
2. Specified Low-Income Medicare Beneficiary (SLMB): income threshold of 170% FPL
-Single: $1720/mo; resource limit $7560
-Married: $2332/mo; resource limit $11340
-Benefits: Pays Part B Premiums
3. Qualified Individual (QI): income threshold of 185% FPL
-Single: $1872/mo; resource limit $7560
-Married: $2538/mo; resource limit $11340
,-Benefits: Pays Part B Premiums
4. Qualified Disabled Worker (QDW): income threshold of 200% FPL
-Single: $2024/mo; resource limit $7560
-Married: $2744/mo; resource limit $11340
-Benefits: Payment limited to payment of the monthly premium for Part A Medicare
What is the Family Planning Services for Men and Women through Medicaid? - Correct
answer This non-MEC (Minimum Essential Coverage) program's goal is to
prevent/delay pregnancy by providing family planning services and supplies, as well as
diagnosing and treating STDs.
Eligibility requirements for Family Planning Services for Men & Women - Correct
answer 1. They do not qualify for any other Medicaid category (except pregnant women
losing benefits after birth are assessed automatically)
2. income at or below 141% FPL ($1427 1, $1935 2)
3. citizenship/immigration eligibility requirements
4. not pregnant
5. have not had hysterectomy or sterilization procedure
,What is the Breast and Cervical Cancer Program? - Correct answer A Medicaid
program that provides coverage to women with breast or cervical cancer.
What are the eligibility requirements for the Breast and Cervical Cancer Program? -
Correct answer 1. diagnosed with breast or cervical cancer
2. age 19-64
3. not otherwise eligible for Medicaid
4. income less than 200% FPL
3. needs treatment for breast/cervical cancer
4. no health insurance covers their treatment
Right Choices Program - Correct answer Indiana's Restricted Card Program that locks
in members who utilize or abuse services by using them extensively more than their
peers. They become locked-in, or can only use, any or all of the following:
Primary Care Provider, pharmacy, hospital (non-emergency visits), approved specialty
providers
, What is the End Stage Renal Disease (ESRD) Program? - Correct answer A Medicaid
program for individuals diagnosed with ESRD (a waiver demonstration) covered with
the Aged, Blind, and Disabled category. Medicare is primary, Medicaid is secondary.
Benefit Package A is delivered through FFS (fee-for-service) or traditional medicaid
model.
Eligibility for the ESRD Program includes: - Correct answer 1. diagnosed with ESRD
2. approved to receive Medicaid Part A and B
3. Limited resources
4. Non-MAGI income is over 150% FPL, with no upper limit for members who were on
Medicaid with a spend down as of May 31, 2014
5. Non-MAGI income is between 150% and 300% FPL if not on Medicaid with a spend
down as of May 31, 2014
6. not institutionalized
7. meet all non-financial Medicaid requirements
8. not eligible for any other Medicaid
