Eligibility Results

Slides (14)

1. 1 - Pick Answer If a customer is accepted into Medicaid, they would not be eligible to enroll into a QHP through Pennie with subsidies.

   1. False

   2. True

2. 2 - Pick Answer If a customer is denied Medicaid, any APTC removed during the evaluation can be reapplied to their initial start date.

   1. True

   2. False

3. 3 - Leaderboard

4. 4 - Pick Answer If a customer rejects their Medicaid coverage, they will have to pay the full cost for their marketplace coverage.

   1. True

   2. False

5. 5 - Pick Answer APTC will remain while we await the Medicaid determination

   1. False

   2. True

6. 6 - Leaderboard

7. 7 - Pick Answer The marketplace is responsible for determining a customer's final Medicaid/CHIP eligibility

   1. False

   2. True

8. 8 - Pick Answer The amount of APTC a customer receives is determined by

   1. Income Type

   2. Total Household Income

   3. Premium amount of the benchmark plan in their area

   4. Household Size

9. 9 - Leaderboard

10. 10 - Pick Answer APTC is used to lower a customer's

    1. Monthly Premium

    2. Copays

    3. Deductible

    4. Taxable Income

11. 11 - Pick Answer Cost Sharing Reductions lower out-of-pocket expenses such as copay amounts, deductibles, co-insurance rates, and OOP Max

    1. True

    2. False

12. 12 - Leaderboard

13. 13 - Pick Answer We need to inform a customer of their full eligibility results after submitting or updating an application

    1. False

    2. True

14. 14 - Leaderboard