INDIANA NAVIGATOR TEST QUESTIONS AND
ANSWERS 2024
True or False: An Indiana Navigator can recommend payment plans? - Answers- False
- They can only say what plans most people use, as well as give information about the
plans themselves
Where can customers go for information about these health plans:
- Affordable Care Act
- General health insurance
- Consumer complaints
- Language resources
- Disability resources - Answers- - Affordable care act = cms.gov or healthcare.gov
- General health insurance = glossary of commonly used terms
- Complaints = Health insurance company (check insurance card) or IDOI (in.gov/idoi)
or FFM for FFM coverage (healthcare.gov)
- Language resources = FFM (for FFM coverage) or DFR (for IHCP coverage,
dfrbenefits.in)
- Disability resources = FFM or area agencies on aging or division of disability and
rehab services
AO means... - Answers- Application organization
- Must be registered
Navigators must be... - Answers- - Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - Answers- - Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
How many hours of training must navigators complete when completing their renewal? -
Answers- 2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - Answers- - Indiana Navigators = IDOI
- Health Insurance Companies = Contact company first, then IDOI
- FFM = Contact FFM at healthcare.gov
, An Indiana Navigator must report a change in name or contact information to IDOI no
later than... - Answers- 30 days after the change occurs
Healthy Indiana Plan (HIP) - Answers- - Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
- Three possible plans called HIP: Plus, Basic, State Plan
- Annual deductible
- Copays for ED
- POWER Account can help fund the annual deductible
HIP Maternity - Answers- - Income at or below 138% FPL
- No cost sharing for pregnant members (ex. no POWER account contributions)
- Full coverage
HIP - Gateway to Work - Answers- - Requires all able-bodied (with some exceptions,
ex. students, chronically homeless, already employed) people to work or complete
qualifying activities
HIP Basic - Copayment Amounts - Answers- - Outpatient = $4
- Inpatient = $75
- Preferred drugs = $4
- Non-preferred drugs = $8
- Non-emergency ER visit = $8 (same for HIP Plus members)
HIP - Fast Track Payments - Answers- - Allows eligible Hoosiers to expedite the start of
their coverage in HIP Plus
- $10
- Once payment made, cannot change health plan until open enrollment
- Payment goes toward first POWER account contribution
- Effective date = First month payment made if eligible (if no fast track, will be first date
of POWER contribution after being found eligible)
There are 4 Managed Care Entities (MCEs) in Indiana called... - Answers- - Anthem,
CareSource, MDWise, and MHS
- Goal = integrate programs in Hoosier Healthwise and Healthy Indiana Plan (HIP)
Hoosier Care Connect covers those... - Answers- - In Indiana who are not eligible for
Medicare and who are 65+, blind, disabled, enrolled in MED Works, or receiving SSI
- Enrollees select either Anthem or MHS to ensure individual gets best care for their
individualized needs
Traditional Medicaid includes... - Answers- - People who are aged, blind, or disabled
(dual eligible for Medicare and Medicaid, long-term care institutes, hospice)
- Adults (recipients of waivers, medicaid eligible due to breast/cervical cancer)
- Children (Former foster care, in psychiatric facilities)
ANSWERS 2024
True or False: An Indiana Navigator can recommend payment plans? - Answers- False
- They can only say what plans most people use, as well as give information about the
plans themselves
Where can customers go for information about these health plans:
- Affordable Care Act
- General health insurance
- Consumer complaints
- Language resources
- Disability resources - Answers- - Affordable care act = cms.gov or healthcare.gov
- General health insurance = glossary of commonly used terms
- Complaints = Health insurance company (check insurance card) or IDOI (in.gov/idoi)
or FFM for FFM coverage (healthcare.gov)
- Language resources = FFM (for FFM coverage) or DFR (for IHCP coverage,
dfrbenefits.in)
- Disability resources = FFM or area agencies on aging or division of disability and
rehab services
AO means... - Answers- Application organization
- Must be registered
Navigators must be... - Answers- - Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - Answers- - Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
How many hours of training must navigators complete when completing their renewal? -
Answers- 2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - Answers- - Indiana Navigators = IDOI
- Health Insurance Companies = Contact company first, then IDOI
- FFM = Contact FFM at healthcare.gov
, An Indiana Navigator must report a change in name or contact information to IDOI no
later than... - Answers- 30 days after the change occurs
Healthy Indiana Plan (HIP) - Answers- - Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
- Three possible plans called HIP: Plus, Basic, State Plan
- Annual deductible
- Copays for ED
- POWER Account can help fund the annual deductible
HIP Maternity - Answers- - Income at or below 138% FPL
- No cost sharing for pregnant members (ex. no POWER account contributions)
- Full coverage
HIP - Gateway to Work - Answers- - Requires all able-bodied (with some exceptions,
ex. students, chronically homeless, already employed) people to work or complete
qualifying activities
HIP Basic - Copayment Amounts - Answers- - Outpatient = $4
- Inpatient = $75
- Preferred drugs = $4
- Non-preferred drugs = $8
- Non-emergency ER visit = $8 (same for HIP Plus members)
HIP - Fast Track Payments - Answers- - Allows eligible Hoosiers to expedite the start of
their coverage in HIP Plus
- $10
- Once payment made, cannot change health plan until open enrollment
- Payment goes toward first POWER account contribution
- Effective date = First month payment made if eligible (if no fast track, will be first date
of POWER contribution after being found eligible)
There are 4 Managed Care Entities (MCEs) in Indiana called... - Answers- - Anthem,
CareSource, MDWise, and MHS
- Goal = integrate programs in Hoosier Healthwise and Healthy Indiana Plan (HIP)
Hoosier Care Connect covers those... - Answers- - In Indiana who are not eligible for
Medicare and who are 65+, blind, disabled, enrolled in MED Works, or receiving SSI
- Enrollees select either Anthem or MHS to ensure individual gets best care for their
individualized needs
Traditional Medicaid includes... - Answers- - People who are aged, blind, or disabled
(dual eligible for Medicare and Medicaid, long-term care institutes, hospice)
- Adults (recipients of waivers, medicaid eligible due to breast/cervical cancer)
- Children (Former foster care, in psychiatric facilities)
