CACs Health Coverage Programs 3

Question 1

Under the ACA, which cost-sharing reduction (CSR) is only available to consumers who enroll in which metal tier?

Accepted Answer

Silver

Answer

Cost-sharing reductions are only available on Silver plans; eligible consumers must select a Silver plan to receive CSR benefits.

Question 2

What income threshold (as a percentage of the Federal Poverty Level) generally marks the upper limit for Medicaid eligibility for adults under the ACA expansion?

Accepted Answer

133% FPL (effectively 138%)

Answer

ACA Medicaid expansion covers adults up to 133% FPL, which with a 5% income disregard effectively becomes 138% FPL.

Question 3

What is COBRA continuation coverage?

Accepted Answer

A law allowing people to temporarily keep employer-sponsored health coverage after losing job-based coverage

Answer

COBRA (Consolidated Omnibus Budget Reconciliation Act) lets qualifying individuals continue their employer-sponsored group health coverage for a limited period after leaving employment.

Question 4

Which group is eligible for Medicare Part A premium-free if they have worked and paid Medicare taxes for at least 40 quarters?

Accepted Answer

Adults aged 65 and older

Answer

Adults 65 and older who or whose spouse paid Medicare taxes for 40 or more quarters qualify for premium-free Medicare Part A.

Question 5

Which term describes the annual amount a consumer must pay out-of-pocket before the health plan begins sharing costs?

Accepted Answer

Deductible

Answer

The deductible is the fixed amount a consumer pays for covered services each plan year before the insurance company starts to pay.

(CACs) Certified Application Counselor Practice Test

(CACs) Certified Application Counselor Practice Test

CACs Health Coverage Programs 3