answerquestion the catalyst center is funded by the division of services for children with special...

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The Catalyst Center is funded by the Division of Services for Children with Special Health Needs, Maternal & Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, under cooperative agreement #U41MC13618. Marie Mann, MD, MPH, FAAP, MCHB/HRSA Project Officer.

Intro to Health Insurance & the ACA: An interactive learning

session for youth/young adults

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A bit about the Catalyst Center…

We focus on ideas that help cover more kidshttp://hdwg.org/catalyst/about

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Vocab ACAPrivate Health

InsuranceSSI Resources

Final Question

Game Show

Game Show Directions(1) View as a slideshow, starting on the first slide.

(2) Click on the question value (100-500).

(3) Click the slide to view the question. Click again to view the answer.

(4) Use the home button after each question.

Keep a record (on your own) of the scores of both teams and which questions have been asked.

©Norman Herr, 2003

Answer Question

What you pay for a top-of-the-line item.

A Premium

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A term for an expense that is excluded from

what your health plan covers.

Deductible

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What you are doing if you and another person share the cost of an item.

Co-pay

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The percent of the costs your health plan has

you pay for covered services.

Co-Insurance

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A person to whom you are attracted and a

banana – both have this.

Appeal

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The difference between the Affordable

Care Act and Obamacare.

Nothing

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True or False:

Since September 2010, health insurers can not

deny insurance to children, younger than 19

years old, with pre-existing conditions.

Answer:

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True or False:

Since September 2010, the ACA allows

parents to keep their young adult children

on their health insurance to age 26.

Answer:

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True or False:

Private health plans can limit the lifetime

amount of dollar benefits they provide.

Answer:

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Question:An on line marketplace where U.S. citizens with income between 100% and 400% FPL, and no other access to insurance can compare and get financial assistance to purchase health insurance, OR What you do when you return a gift for something you like better.

Answer:Exchange

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True or False:Private health plans will pay for any health provider and any treatment option you want.

Answer:

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Health plans that existed before March 23, 2010

when the ACA was signed and that have not

changed, OR

A common name for your mother’s father.

Answer:

Grandfather

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Answer:Read your service benefit plan or talk to HR Human Resources) where you work.

Question?How do I find out about the health services and covered benefits offered by my health insurance plan?

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Answer: Work with your health provider to document the medical necessity and file an appeal.

Question?What if my health plan doesn't want to cover the treatment or products I want to use?

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Question:

What are my options for health insurance if I

lose my job?

Answer

COBRA, Medicaid, HCBS Waivers, Parent’s

Health Plan, Marketplace/Exchange Plan

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True or False:

Everyone with special health care needs,

disabilities, or chronic illnesses gets SSI

(Supplemental Security Income).

Answer:

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True or False:If you are eligible for SSI you automatically receive Medicaid?

Answer:

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True or False:

The disability determination process and

clinical criteria for Supplemental Security

Income (SSI) are different for children

and adults.

Answer:

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What a quarterback does to advance the ball

OR

The name of the Social Security program that helps

individuals with disabilities get the education, job skills, or

other training they need to get a job that interests them.

Answer:

PASS – Plan for Achieving Self-Supportwww.socialsecurity.gov/disabilityresearch/wi/pass.htm

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True or False:

You can work and remain eligible for SSI.

Answer:

YesTicket to Work

www.ssa.gov/pubs/10060.html

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What a GPS (global positioning system) helps you do.

Navigate the Road Navigating the Road to Work

http://www.ncwd-youth.info/topic

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How do you feel when you are smiling?

GLADD Give ♦ Listen ♦ Ask ♦ Decide ♦ Do

A series of videos and other information for young adults about communicating with health

professionals.

http://hctransitions.ichp.ufl.edu/gladd/

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A group of youth who are:1) Less than 30 years old, and2) Feel like nothing bad can happen to themCould be described as?

Young Invincibleshttp://younginvincibles.org/

A national organization, representing the interests of 18 to 34 year-olds that works to ensure their perspective is heard wherever decisions about their collective future are being made. They research and analyze policy, Share stories, design educational campaigns, and mobile their generation to change the status quo.

Getting Covered tool kit at http://gettingcovered.org/

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What you’ve ‘got’ when you have the

information you need to switch from pediatric

to adult systems of care?

Got Transition?http://www.gottransition.org

A national resource center that supports youth and young adults with special health care needs and their families around issues of health care transition, guardianship, self-determination, and

more.

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A state-based, family-run center that helps youth and young

adults with special health needs and families raising children

with special health needs learn about health care services and

supports, and the state’s public benefits programs.

The Family-to-Family Health Information Centers

Find the Center in your state

http://www.fv-ncfpp.org/

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Question:

What’s the national center that works to improve health care financing for children and youth with special health care needs?

Answer: The Catalyst Center

www.catalystctr.org