Members of a National Association of Insurance Commissioners (NAIC) panel have tried to boil basic Patient Protection and Affordable Care Act (PPACA) program eligibility questions into a flowchart.
The drafters have compressed the PPACA health program eligibility basics into a one-page chart that includes 17 pages and leads to nine ultimate program eligibility conclusions.
The questions range from practical questions about the consumer, such as, “Does caller appear English-language proficient?” to questions about whether the consumer is a legal resident of the United States.
The eligibility answers range from, “You may be eligible for Medicaid,” to a suggestion that some higher-income consumers might consider trying to either try to buy un-subsidized coverage through an exchange or try to get coverage through the non-group, non-exchange market.
The subgroup is responsible for helping state regulators and others involved with helping consumers understand and use the new PPACA health insurance exchanges, or Web-based health coverage supermarkets. The exchanges are supposed to open for business Oct. 1.