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

1. Open enrollment for Covered California ends:

Never, you can enroll at any time

On your birthday

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

June 1st

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Explanation

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

Bronze

Enhanced Silver

Gold

Platinum

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Explanation

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

True

False

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.

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.

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

Section I

Section II

Section V

Both a and d

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

Explanation

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

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

Between 138 and 400 percent FPL

Between 138 and 250 percent FPL

Under 200 percent FPL

None of the above

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.

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.

6. 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.

True

False

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.

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.

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

Buying a new home

Buying a new care

Leaving the country

Birth of a child

All of the above

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.

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.

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

True

False

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

Explanation

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

9. Which of the following statement is true for Covered California?

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

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

All of the above

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.

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.

10. 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?

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

What type of plan did you enroll in

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

How much will you (the client) be taking?

Both a and d

All of the above

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.

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.

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

Online - Clients can visit www.CoveredCA.com

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

Email

A, B, and D

All of the above

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.

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.

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

OA-HIPP Application

IAS Consent Form

IAS ARIES Consent Form

Covered California Welcome Letter

Both a and d

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.

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.