QUESTIONS WITH PASSED ANSWERS 2024!!
How long does the system have to submit proof of income for QHP? Answer -
90 Days
An explanation of the right to appeal and instructions on how to do so Answer
- Eligibility Determination Notice
Consumers submit verification documents using which methods? Answer -
Take in person to consumer assistance worker, fax , and mail a copy of
document.
Consumers must scan through the MHC system and submit documents by
Answer - take in person, by mail, and upload to account
Who does the consumer need to contact to receive assistance with appealing
Answer - Health Education and Advocacy Unit (HEAU)
How many days to appeal from Medicaid Answer - 10 Days
How many days to appeal from QHP Answer - 90 Days
Five life events that will affect coverage and should be reported immediately
Answer - Birth/Adoption, Released from incarceration, Change in income,
change in immigration status, and marriage/divorce
, Do All taxable household members need to be included in the application
whether they are enrolled in coverage or not ? Answer - True
After enrollment, How do they make their initial premium payments/initial
payments ? Answer - All payments are made directly to the insurance carrier
Cost sharing reductions apply to which metal level? Answer - Silver
SADP? Answer - Stand Alone Dental Plan
Can a parent purchase a SADP for a child even though the child will
automatically be offered dental coverage through the QHP? Answer - True
Can you go without dental coverage ? Answer - Yes
DPPO Answer - when you can go to any doctor even out of state.
DHMO Answer - When you can only go to the doctors within your company
DHMO value? Answer - 70%
DPPO value? Answer - 85%
Name of the Medicaid dental program for children and pregnant women?
Answer - Maryland Healthy Smiles
Failure to pay your SADP monthly premium will result in ? Answer -
Termination of policy