Oa-hipp Enrollment Worker Training: Covered California And Medi-cal Expansion

1.

Please enjoy the training!

2.

Please read the following document below before clicking "Next".

3.

Now that you have read the " Agreement by Employee/ Contractor to Comply with Confidentiality Requirements" form, please type your name and the date below. By inputting your name you are signing this Agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Agreement. By signing the form electronically you have acknowledge that you have read, understand, and agree to comply with the terms and conditions stated on the Agreement.

4.

Client will be required to take the maximum monthly federal premium assistance amount in order to be enrolled into OA-HIPP.

A.

True
B.

False

Correct Answer
A. True

Explanation
In order to be enrolled into OA-HIPP, the client will need to take the maximum monthly federal premium assistance amount. This means that they must accept the highest amount of financial assistance available from the federal government to help cover their monthly premiums. By doing so, they will meet the eligibility criteria for enrollment into OA-HIPP.

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5.

Which section of the OA-HIPP Application was modified specifically for Covered California information?

A.

Section I
B.

Section II
C.

Section V
D.

Both a and d

Correct Answer
C. Section V

Explanation
Section V of the OA-HIPP Application was modified specifically for Covered California information.

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6.

Which document(s) states the monthly premium assistance amount?

A.

OA-HIPP Application
B.

IAS Consent Form
C.

IAS ARIES Consent Form
D.

Covered California Welcome Letter
E.

Both a and d

Correct Answer
E. Both a and d

Explanation
The monthly premium assistance amount is stated in both the OA-HIPP Application and the Covered California Welcome Letter. The OA-HIPP Application is likely a form or document that individuals can fill out to apply for premium assistance, and it would include information about the amount of assistance they may be eligible for. The Covered California Welcome Letter is a document that is sent to individuals who enroll in a health insurance plan through Covered California, and it would also include information about the monthly premium assistance amount that the individual may receive.

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7.

On the OA-HIPP Application, Section V includes question pertaining to the client's Covered California plan. Which of the following question should have matching amounts?

A.

How much of the monthly tax credit are you eligible for?
B.

What type of plan did you enroll in
C.

What is your household size (includes self, spouse, registered domestic partner, and/ or dependent children) ?
D.

How much will you (the client) be taking?
E.

Both a and d
F.

All of the above

Correct Answer
E. Both a and d

Explanation
The correct answer is "Both a and d". This is because both question a and question d are asking about the amount of money related to the client's Covered California plan. Question a asks about the amount of monthly tax credit the client is eligible for, while question d asks about the amount the client will be taking. Therefore, both questions should have matching amounts.

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8.

A client can request a refund from their Covered California health insurance company once OA-HIPP payment is received if they elect o pay their first month's premium.

A.

True
B.

False

Correct Answer
A. True

Explanation
If a client elects to pay their first month's premium, they can request a refund from their Covered California health insurance company once they receive the OA-HIPP payment. This means that if the client has already paid for their first month's premium and then receives the OA-HIPP payment, they can ask for a refund from their insurance company.

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9.

Which of the following statement is true for Covered California?

A.

All people who make less than 138 percent FPL (Federal Poverty Level) are eligible
B.

As long as you are over the age of 18 you are eligible
C.

Legal California residents who earn more than 138 percent FPL and are not enrolled in Medicare, employer-base coverage or other private health insurance are eligible to purchase health insurance through Covered California
D.

All of the above

Correct Answer
C. Legal California residents who earn more than 138 percent FPL and are not enrolled in Medicare, employer-base coverage or other private health insurance are eligible to purchase health insurance through Covered California

Explanation
Legal California residents who earn more than 138 percent FPL and are not enrolled in Medicare, employer-base coverage or other private health insurance are eligible to purchase health insurance through Covered California. This means that individuals who meet these criteria can access health insurance through Covered California, regardless of their age or income level.

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10.

OA-HIPP will only pay for Silver and Platinum Medal plans.

A.

True
B.

False

Correct Answer
B. False

Explanation
The statement is false because OA-HIPP will only pay for Silver Medal plans, not Platinum Medal plans.

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11.

Premium Assistance (a.k.a the "tax credit") is for individuals with income:

A.

Between 138 and 400 percent FPL
B.

Between 138 and 250 percent FPL
C.

Under 200 percent FPL
D.

None of the above

Correct Answer
A. Between 138 and 400 percent FPL

Explanation
Premium Assistance, also known as the "tax credit," is available for individuals with income between 138 and 400 percent of the Federal Poverty Level (FPL). This means that individuals whose income falls within this range are eligible for financial assistance to help cover the cost of their health insurance premiums. Those with income below 138 percent FPL may qualify for Medicaid, while those with income above 400 percent FPL may not be eligible for any financial assistance. Therefore, the correct answer is between 138 and 400 percent FPL.

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12.

Open enrollment for Covered California ends:

A.

Never, you can enroll at any time
B.

On your birthday
C.

March 31st, 2014 but December 7th in the following years
D.

June 1st

Correct Answer
C. March 31st, 2014 but December 7th in the following years

13.

Which of the following ways can a client apply for both Medi-Cal Expansion and Covered California?

A.

Online - Clients can visit www.CoveredCA.com
B.

Telephone - Clients can call the Customer Service Center at 800-300-1506
C.

Email
D.

By Paper application - Client can submit via fax at 1-888-329-3700 or mail to: Covered California, P.O. Box 989725, West Sacramento, CA 95798-9725
E.

A, B, and D
F.

All of the above

Correct Answer
E. A, B, and D

Explanation
Clients can apply for both Medi-Cal Expansion and Covered California through online, telephone, and paper application methods. They can visit the website www.CoveredCA.com, call the Customer Service Center at 800-300-1506, or submit the application via fax or mail. Therefore, options A, B, and D are correct.

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14.

If a client's income is between 138 and 200 FPL which plan should they choose?

A.

Bronze
B.

Enhanced Silver
C.

Gold
D.

Platinum

Correct Answer
B. Enhanced Silver

15.

Which of the following is considered a Qualifying Event and would prompt a special Enrollment period?

A.

Buying a new home
B.

Buying a new care
C.

Leaving the country
D.

Birth of a child
E.

All of the above

Correct Answer
D. Birth of a child

Explanation
The birth of a child is considered a qualifying event because it is a life-changing event that would prompt a special enrollment period. During this period, individuals can enroll in or make changes to their health insurance coverage outside of the regular enrollment period. This allows new parents to add their child to their health insurance plan or make any necessary adjustments to their coverage to accommodate their growing family.

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