Health Insurance Coverage & Enrollment Flashcards
6 cards from real ACA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Health Insurance Coverage & Enrollment flashcards as text
What is the Open Enrollment Period under the ACA?
Answer: A set time each year to enroll in or change health plans
The Open Enrollment Period is the annual window during which individuals can sign up for or change their health insurance plans.
Which factor determines eligibility for ACA premium subsidies?
Answer: Household income and federal poverty level
ACA premium subsidies are based on household income and are designed to make health coverage more affordable.
What is a Special Enrollment Period (SEP)?
Answer: A window for enrollment triggered by life events
A Special Enrollment Period allows individuals to enroll in a health plan outside of Open Enrollment due to qualifying life events.
Who qualifies for Medicaid under the ACA expansion?
Answer: Low-income adults meeting federal poverty guidelines
Medicaid expansion under the ACA provides coverage to low-income individuals with income up to 138% of the federal poverty level.
What is the role of the Health Insurance Marketplace?
Answer: A platform to compare and enroll in health plans
The Health Insurance Marketplace provides individuals and small businesses a way to compare and enroll in ACA-compliant health plans.
What happens if an individual does not enroll in a health insurance plan during Open Enrollment?
Answer: They must wait until the next Open Enrollment
Unless they qualify for a Special Enrollment Period, individuals must wait until the next Open Enrollment Period to apply for coverage.