PY2024 INDIVIDUAL MARKETPLACE TRAINING FOR RETURNING AGENTS
AND BROKERS UPDATED ACTUAL Questions And Correct Answers
C
Terms in this set (25)
Valentina, a pregnant consumer with income under their May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
state's threshold. rules)
Mohammed, a 70-year-old consumer with income under May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
their state's threshold. rules)
Jaime, a consumer that is only eligible for Medicaid with May be Eligible for Marketplace coverage
limited benefits.
Noami, a Medicare-eligible consumer with a disability in a May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
household that otherwise qualifies for APTC. rules)
Ines, a non-pregnant adult consumer with household May be Eligible for Marketplace coverage
income over 100% of the FPL in a state that has not
adopted Medicaid expansion.
Leandro, a 35-year-old consumer with household income May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
under 133% of the FPL in a state that has adopted rules)
Medicaid expansion.
Nida, a consumer that received a denial letter from their May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
state Medicaid agency stating they did not submit rules)
requested documents.
Diego, a 17-year-old consumer in a household with May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
income above 133% of the FPL and below their state limit rules)
for CHIP.
Maggie, a consumer that received a denial letter from May be Eligible for Marketplace coverage
their state Medicaid agency stating they are no longer
eligible due to income changes.
You helped your client, Ahmad, complete the The Gold plan has a higher premium, but has lower out-of-pocket costs for
Marketplace application and he's ready to select a plan. essential health benefits than the Bronze plan.
You've helped him narrow down his options to two plans,
one Gold and one Bronze. Ahmad wants to understand
why the Gold plan has a much higher premium than the
Bronze plan. Both are health maintenance organization
(HMO) plans within the same issuer product. What is the
correct response?
AND BROKERS UPDATED ACTUAL Questions And Correct Answers
C
Terms in this set (25)
Valentina, a pregnant consumer with income under their May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
state's threshold. rules)
Mohammed, a 70-year-old consumer with income under May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
their state's threshold. rules)
Jaime, a consumer that is only eligible for Medicaid with May be Eligible for Marketplace coverage
limited benefits.
Noami, a Medicare-eligible consumer with a disability in a May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
household that otherwise qualifies for APTC. rules)
Ines, a non-pregnant adult consumer with household May be Eligible for Marketplace coverage
income over 100% of the FPL in a state that has not
adopted Medicaid expansion.
Leandro, a 35-year-old consumer with household income May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
under 133% of the FPL in a state that has adopted rules)
Medicaid expansion.
Nida, a consumer that received a denial letter from their May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
state Medicaid agency stating they did not submit rules)
requested documents.
Diego, a 17-year-old consumer in a household with May be Eligible for Medicaid or CHIP Coverage (refer to specific state eligibility
income above 133% of the FPL and below their state limit rules)
for CHIP.
Maggie, a consumer that received a denial letter from May be Eligible for Marketplace coverage
their state Medicaid agency stating they are no longer
eligible due to income changes.
You helped your client, Ahmad, complete the The Gold plan has a higher premium, but has lower out-of-pocket costs for
Marketplace application and he's ready to select a plan. essential health benefits than the Bronze plan.
You've helped him narrow down his options to two plans,
one Gold and one Bronze. Ahmad wants to understand
why the Gold plan has a much higher premium than the
Bronze plan. Both are health maintenance organization
(HMO) plans within the same issuer product. What is the
correct response?
