CACs Marketplace Plan Options 2

Question 1

Which metal tier plan typically has the lowest monthly premium but the highest out-of-pocket costs when care is needed?

Accepted Answer

Bronze

Answer

Silver

Answer

Gold

Answer

Platinum

Question 2

A client wants a plan where their insurer pays about 80% of covered costs on average. Which metal tier should they choose?

Accepted Answer

Gold

Answer

Bronze

Answer

Silver

Answer

Catastrophic

Question 3

What is the actuarial value of a Platinum plan?

Accepted Answer

90%

Answer

70%

Answer

80%

Answer

100%

Question 4

Which plan type is ONLY available to people under age 30 or those who qualify for a hardship or affordability exemption?

Accepted Answer

Catastrophic

Answer

Bronze

Answer

Silver

Answer

Gold

Question 5

Cost-Sharing Reductions (CSRs) are ONLY available to eligible enrollees who select which metal tier?

Accepted Answer

Silver

Answer

Bronze

Answer

Gold

Answer

Platinum

Question 6

A 28-year-old healthy individual with no subsidies wants the absolute lowest premium possible on the Marketplace. Which plan type should a CAC present first?

Accepted Answer

Catastrophic

Answer

Bronze

Answer

Silver

Answer

Gold

Question 7

Which statement about Marketplace plan networks is correct?

Accepted Answer

Plans can use HMO, PPO, EPO, or POS network types regardless of metal tier

Answer

All plans in the same metal tier share the same provider network

Answer

Only Gold and Platinum plans can offer PPO networks

Answer

Catastrophic plans must use EPO networks by law