Indiana Navigator Test
True or False: An Indiana Navigator can recommend payment plans? - Correct 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 - Correct 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... - Correct Answers -Application organization
- Must be registered
Navigators must be... - Correct Answers -- Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - Correct Answers -- Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
Why does determining household size and income matter? - Correct Answers -- The
number of people in a household determines the federal poverty level used in eligibility.
- Married couples who live together but file separately will still be counted as part of the
household.
, Who are the MAGI exceptions? - Correct Answers -- People who are aged, blind, and
disabled.
- MED Works users.
- Long-term care/home service users.
- Household size is instead based on relationship and living arrangement, not tax filing.
What are the steps to applying consumers for health coverage? - Correct Answers -1.
Consumer will find an Indiana Navigator or AO.
2. Screen consumer for program eligibility. Consumers can apply using either the
Indiana App for Health Coverage or FFM (if not eligible for one, application will be sent
to the other).
How many hours of training must navigators complete when completing their renewal? -
Correct Answers -2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - Correct 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... - Correct Answers -30 days after the change occurs
It is acceptable for an Indiana Navigator to give the following plan selection advice... -
Correct Answers -Help a consumer:
- Compare plan benefits
- Estimate out-of-pocket expenses
- Consider healthcare use
Indiana Health Coverage Programs (IHCPs) - Correct Answers -- State funded
- Free or low-cost health insurance to low-income people
- Ex. children, adults, parents, caretakers, pregnant people, aged, blind, disabled
Hoosier Healthwise - Correct Answers -Includes:
- Pregnant women
- Children up to 19 years old
= Package A is children of low income households
= Package C is CHIP for children (ONLY CHILDREN) of higher income families
- Covers doctor visits, meds, mental healthcare, dental care, surgeries, family planning
- Little or no cost
Healthy Indiana Plan (HIP) - Correct Answers -- Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
True or False: An Indiana Navigator can recommend payment plans? - Correct 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 - Correct 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... - Correct Answers -Application organization
- Must be registered
Navigators must be... - Correct Answers -- Certified
- Can be non-residents or residents of Indiana
- Unbiased
- Cannot be brokers or agents who make money off of selling insurance
IDOI... - Correct Answers -- Indiana Department of Insurance
- Receives and reviews all Indiana Navigator apps
- Monitors any complaints
Why does determining household size and income matter? - Correct Answers -- The
number of people in a household determines the federal poverty level used in eligibility.
- Married couples who live together but file separately will still be counted as part of the
household.
, Who are the MAGI exceptions? - Correct Answers -- People who are aged, blind, and
disabled.
- MED Works users.
- Long-term care/home service users.
- Household size is instead based on relationship and living arrangement, not tax filing.
What are the steps to applying consumers for health coverage? - Correct Answers -1.
Consumer will find an Indiana Navigator or AO.
2. Screen consumer for program eligibility. Consumers can apply using either the
Indiana App for Health Coverage or FFM (if not eligible for one, application will be sent
to the other).
How many hours of training must navigators complete when completing their renewal? -
Correct Answers -2 hours
Where do consumers go to make complaints about:
- Indiana Navigators
- Health Insurance Companies or Plans
- Complaints about FFM - Correct 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... - Correct Answers -30 days after the change occurs
It is acceptable for an Indiana Navigator to give the following plan selection advice... -
Correct Answers -Help a consumer:
- Compare plan benefits
- Estimate out-of-pocket expenses
- Consider healthcare use
Indiana Health Coverage Programs (IHCPs) - Correct Answers -- State funded
- Free or low-cost health insurance to low-income people
- Ex. children, adults, parents, caretakers, pregnant people, aged, blind, disabled
Hoosier Healthwise - Correct Answers -Includes:
- Pregnant women
- Children up to 19 years old
= Package A is children of low income households
= Package C is CHIP for children (ONLY CHILDREN) of higher income families
- Covers doctor visits, meds, mental healthcare, dental care, surgeries, family planning
- Little or no cost
Healthy Indiana Plan (HIP) - Correct Answers -- Low-cost health insurance
- Minimum essential coverage (MEC)
- Must be: Indiana resident, 19-64, income at or below 138% FPL
