Practice Test Geeks(CACs) Certified Application Counselor Practice Test
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Affordable Care Act Basics Flashcards

7 cards from real CACS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Affordable Care Act Basics flashcards as text

  1. Under the ACA, which metal tier plan has the HIGHEST actuarial value?

    Answer: Platinum

    Platinum plans have the highest actuarial value at approximately 90%, meaning the plan pays about 90% of covered medical costs on average.

  2. Cost-Sharing Reductions (CSRs) under the ACA are ONLY available with which metal tier plan?

    Answer: Silver

    CSRs are only applied to Silver plans; eligible individuals must enroll in a Silver plan to receive reduced deductibles, copays, and out-of-pocket maximums.

  3. A family of four with an income of 200% FPL applies for coverage. Which program should they FIRST be screened for?

    Answer: Medicaid and CHIP before Marketplace plans

    CACs must screen all applicants for Medicaid and CHIP eligibility first, as these programs may provide more comprehensive and cost-effective coverage.

  4. What is the primary purpose of the Summary of Benefits and Coverage (SBC) document?

    Answer: To provide a standardized comparison of plan costs and coverage

    The SBC is a standardized, easy-to-understand summary that allows consumers to compare plans based on key costs and coverage details.

  5. Which ACA provision allows young adults to remain on a parent's health insurance plan?

    Answer: Young adult coverage up to age 26

    The ACA requires plans that cover dependents to offer coverage to adult children up to age 26, regardless of student, marital, or financial dependency status.

  6. What is 'guaranteed issue' under the ACA?

    Answer: The requirement that insurers must accept all applicants regardless of health status

    Guaranteed issue means health insurers must offer and sell coverage to any applicant who applies during open or special enrollment, regardless of pre-existing conditions.

  7. Under the ACA, what is the standard Open Enrollment Period (OEP) for the individual Marketplace?

    Answer: November 1 – January 15

    The standard ACA Open Enrollment Period runs November 1 through January 15 for most states, with coverage starting January 1 or February 1 depending on enrollment date.