Ny Health Flashcards
How are health plans classified according to the affordable care act
Metal levels which are four tiers of qualifying health plans bronze plans have a 60% arterial level of coverage silver has 70% gold plans 80% platinum plans 90%; lower premium plans will have hired deductibles with less benefits and larger out-of-pocket cost. The arterial level is calculated as % of total average cost for covered benefits
What they scheduled dental policy how our covered expenses paid
Benefits are limited twice a specific maximum dollar amount per procedure.
Coverage for newborns 100 and accident and health plan must include coverage for
Birth abnormalities
How long is the Medicare free look
30 day provision
Small employers may require employees to work a specified number of hours to qualify an employee for a small employee health plan
20 hours
What does shop stand for in shop exchange?
Small business health options program
Group accident and health insurance policies issued in New York generally include an unmarried dependent child who is what age or younger
19
Which of the following provides affordable healthcare insurance coverage to small employers?
Me small business association, healthy New York program, Medicare, New York health department
Healthy New York program designed to help small businesses provide health insurance to their employees and their employees families
After an individual health policy has lapsed a subscriber must
wait 10 days before filing a claim for illness; injuries would be covered immediately
A life settlement broker is someone who
Is licensed to negotiate a life settlement contract and it is paid to solicit and negotiate life settlement contracts
An insurance consultant is best defined as
An agent who charges fees for advice
Any Yorki Medicare supplement policy must be
Guaranteed renewable and cannot be canceled due to the individuals health status
According to the affordable care act any plan existence prior to ….is a grandfathered plan
My 23rd 2010 these plans do not have to follow that ACS rules and regulations or offer the same benefits, rights and protections as new plans; exceptions cannot impose lifetime limits on how much healthcare coverage people may receive
An employee qualify for healthcare tax credits through Shop marketplace if that employer has fewer than #Employees
25; you may qualify for employer healthcare tax credits through Shop if you have fewer than 25 full-time employees making an average of about 50,000 a year or less
To be classified as a small employee in New York and employer must employ
2–50 employees; a small employer is defined as one that employed between 2–50 employees are proceeding calendar year
