NYSOH Assistors
Exam Coverage
The exam coverage includes the core knowledge and responsibilities
associated with NYSOH Assistors, who help consumers enroll in
health coverage through the New York State of Health (NYSOH)
marketplace. It focuses on eligibility rules for Medicaid, Child Health
Plus, Essential Plan, and Qualified Health Plans, as well as application
procedures, enrollment periods, and required documentation. The
exam also evaluates understanding of assister roles, privacy and
confidentiality standards, cultural competence, conflict-of-interest
rules, and consumer communication practices. Emphasis is placed on
accurate enrollment assistance, compliance with marketplace policies,
,and helping individuals and families access appropriate health
insurance coverage in New York State.
What is the age limit for Child Health Plus?
under 19
Are there co-pays and coinsurance or deductibles for CHP?
No
,What is the income guidelines for CHP?
no income limit, premium contribution varies on household size and
FPL
What makes you ineligible for CHP?
can't be eligible for Medicaid, can't have other insurance, don't have
access to or aren't enrolled in NYSHIP
What is the FPL of CHP for no premium?
<160%
, What is the QHP open enrollment period?
November 1- January 31st
When QHP Enroll is completed, when does coverage begin?
Nov. 1-Dec. 15
Dec. 16- Jan 15
Jan 16-Jan 31
Jan. 1
Feb 1
March 1
Exam Coverage
The exam coverage includes the core knowledge and responsibilities
associated with NYSOH Assistors, who help consumers enroll in
health coverage through the New York State of Health (NYSOH)
marketplace. It focuses on eligibility rules for Medicaid, Child Health
Plus, Essential Plan, and Qualified Health Plans, as well as application
procedures, enrollment periods, and required documentation. The
exam also evaluates understanding of assister roles, privacy and
confidentiality standards, cultural competence, conflict-of-interest
rules, and consumer communication practices. Emphasis is placed on
accurate enrollment assistance, compliance with marketplace policies,
,and helping individuals and families access appropriate health
insurance coverage in New York State.
What is the age limit for Child Health Plus?
under 19
Are there co-pays and coinsurance or deductibles for CHP?
No
,What is the income guidelines for CHP?
no income limit, premium contribution varies on household size and
FPL
What makes you ineligible for CHP?
can't be eligible for Medicaid, can't have other insurance, don't have
access to or aren't enrolled in NYSHIP
What is the FPL of CHP for no premium?
<160%
, What is the QHP open enrollment period?
November 1- January 31st
When QHP Enroll is completed, when does coverage begin?
Nov. 1-Dec. 15
Dec. 16- Jan 15
Jan 16-Jan 31
Jan. 1
Feb 1
March 1
