Sunday, June 6, 2021

Covered California Exam Answers


  • Workers' compensation insurance is part of the cost of doing business. An employer cannot ask you to help pay for the insurance premium. Isn't there supposed to be a notice posted at my workplace? Your employer must post the notice to employees...
    Link: https://usu.edu/admissions/apply/


  • The UEBTF is a special unit within the Division of Workers' Compensation that may pay benefits to injured workers who get hurt or ill while working for an illegally uninsured employer. The UEBTF pursues reimbursement of expenditures from the...
    Link: https://lup.lub.lu.se/student-papers/search/publication/8937838
  • Do these guidelines apply if my case is already settled? They may. Treatment guidelines are considered correct even in cases that settled before the guidelines were added to workers' compensation law in Your claims administrator may continue to pay for medical care you're accustomed to for your injury. If your medical treatment has been denied you can request an expedited hearing before a workers' compensation administrative law judge to get the situation resolved.
    Link: https://ybi.ukhulekacual.pw/
  • The claims administrator hasn't accepted or denied my claim yet, but I need medical care for my injury now. What can I do? The claims administrator is required to authorize medical treatment within one working day after you file a claim form with your employer, even while your claim is being investigated. If the claims administrator does not authorize treatment right away, speak with your supervisor, someone else in management or the claims administrator about the law requiring immediate medical treatment. Ask for treatment to be authorized now, while waiting for a decision on your claim. Are there limits on certain kinds of treatment? If your date of injury is in or later, you are limited to a total of 24 chiropractic visits, 24 physical therapy visits, and 24 occupational therapy visits, unless the claims administrator authorizes additional visits or you have recently had surgery and need postsurgical physical medicine. How long can I continue to receive treatment? For as long as it's medically necessary.
    Link: https://barnesandnoble.com/b/textbooks/study-aids-test-prep/test-study-skills-general-miscellaneous/_/N-8q9Z1gky
  • However, some treatments are limited by law and the medical treatment you receive must be evidence-based. The MTUS lays out treatments scientifically proven to cure or relieve work-related injuries and illnesses. It also deals with how often the treatment is given and for how long, among other things. If the treatment your doctor wants to provide goes beyond what is recommended by the MTUS, your doctor must use other evidence to show the treatment is necessary and will be effective. Additionally, your doctor's treatment plan may be reviewed by a third party hired by the claims administrator. This process is called utilization review UR. All claims administrators are required by law to have a UR program. They use UR to decide whether or not to approve treatment recommended by your doctor. What is utilization review? UR is the program claims administrators use to make sure the treatment you receive is medically necessary.
    Link: https://cram.com/flashcards/misleading-information-ewt-ag-7032766
  • All claims administrators are required by law to have a utilization review program. This program will be used to decide whether or not to approve medical treatment recommended by your doctor. The state has rules about how UR must be conducted. If you believe the UR company reviewing your doctor's plan is not following those rules you can file a complaint with the DWC. Find more information about utilization review in the factsheet. If my doctor's request for treatment is not approved, what can I do? There are specific timelines you must meet or you will lose important rights. As of July 1, , medical treatment disputes for all dates of injury will be resolved by physicians through the process of independent medical review IMR. If UR denies or modifies a treating physician's request for medical treatment because the treatment is not medically necessary, you can ask for a review of that decision through IMR.
    Link: http://bjupress.com/
  • What is a health care organization? A health care organization HCO is an organization certified by the DWC to provide managed medical care to injured workers. What is a primary treating physician PTP? Your primary treating physician PTP is the physician with the overall responsibility for treatment of your injury or illness. Generally your employer selects the PTP you will see for the first 30 days, however, in specified conditions, you may be treated by your predesignated physician or medical group. If a physician says you still need treatment after 30 days, you may be able to switch to the physician of your choice. What does predesignating a personal doctor involve?
    Link: https://test-english.com/grammar-points/a1/much-many-lot-little-few/
  • This is a process you can use to tell your employer you want your personal physician to treat you for a work injury. You can predesignate your personal doctor of medicine M. The DWC has a form for predesignating a personal physician on the forms page of its website. I would like to be treated by my personal chiropractor or acupuncturist. How does that work? If your employer or your employer's insurer does not have a MPN, you may be able to change your treating physician to your personal chiropractor or acupuncturist following a work-related injury or illness. In order to be eligible to make this change, you must give your employer the name and business address of a personal chiropractor or acupuncturist in writing prior to the injury or illness. There is a form you can use called the notice of personal chiropractor or personal acupuncturist.
    Link: https://studocu.com/en-ca/document/university-of-ottawa/calculus-iii-for-engineers/practice-materials/final-exam-2017-answers/1246108/view
  • After your claims administrator has initiated your treatment with another doctor during the first 30 day period, you may then, upon request, have your treatment transferred to your personal chiropractor or acupuncturist. If you were injured on or after Jan. Once you have received 24 chiropractic visits if you still require medical treatment, you will have to select a new physician who is not a chiropractor. Does the 24 visit cap on chiropractic visits apply to all cases? The 24 visit cap does not apply to injuries that occurred before Jan. Also, the cap does not apply if your employer authorizes additional visits in writing. Additionally, the cap does not apply to visits for certain postsurgical physical medicine and rehabilitation services. What if I disagree with the MPN doctor's treatment plan? You can also ask for a 2nd and 3rd opinion from different MPN doctors.
    Link: https://stackoverflow.com/questions/35703369/asp-net-check-if-checkbox-in-gridview-is-checked
  • If you still disagree, you can have an IMR to resolve the dispute. See the information on your MPN provided by your employer. What if I disagree with the MPN doctor's opinion regarding my ability to return to work, whether I'm permanently disabled, or if I need future medical treatment? If you disagree with your MPN doctor on any issues other than diagnosis or treatment, you must request a qualified medical examiner QME.
    Link: https://engineering.purdue.edu/~reibman/ece302/Exams/ExamQs-Chapter2_Solutions.pdf
  • Who decides what type of work I can do while recovering? Your treating doctor is responsible for explaining in a medical report: The kind of work you can and can't do while recovering The changes needed in your work schedule or assignments. You, your treating doctor, your employer and your attorney if you have one should review your job description and discuss the changes needed in your job. For example, your employer might give you a reduced work schedule or have you spend less time on certain tasks.
    Link: https://nollywoodmovies.tv/?braindumps=050-11-CARSANWLN01_Exam-Answers-051516
  • They took calls and questions via social media and email about getting government subsidized health coverage in time for the New Year. Go here to enroll in Covered California. From Twitter: Question: 4 the subsidy, it says that household income is aggregated on your tax return. Whereas my residence is California, my husband's is Florida, I appear alone on my California return, we appear together on the federal so? AskFinney Answer: It sounds like you have a household of two. Yes, you need to count both your incomes when projecting your household income.
    Link: http://web.worth-avenue.com/june_2010_integrated_algebra_regents_exam_answers_with_work.pdf
  • If your income is in that range, however, I'm pretty sure you would not be eligible because you don't file a joint California tax return. I suggest calling Covered California at to confirm that. From Facebook: Question: When is the deadline? Answer: The deadline for enrolling for coverage starting January 1st, is December 15th. The deadline for enrolling for coverage starting February 1st, is January 15th.
    Link: https://answers.yahoo.com/question/index?qid=20080806185328AAaKji7
  • The deadline for enrolling for coverage starting February st, is January 31st. Unlike the federal health exchange, Covered California's open enrollment period lasts until January 31, Only those with a qualifying life event such as leaving a job and thereby losing employer-provided coverage can enroll outside of open enrollment. From the hotline: Question: Am I required to have health insurance in ? Answer: New state mandates taking effect on Jan. These penalties will be applied by the California Franchise Tax Board when you file your state tax return. From the hotline: Question: How should I get started? Enter some information about yourself to get a quick estimate of what you would pay for health insurance and which plans are available in your area, and to find out if you qualify for financial help. Certified insurance agents and enrollment counselors will be able to assist you in finding a plan that best meets your needs.
    Link: https://luminexcorp.com/bloodstream-infection-tests/
  • Their services are free and they are trained and certified to provide in-person assistance to consumers applying for health plans through Covered California. You can also call our Service Center toll free at From the hotline: Question: Who qualifies for Medi-Cal? Does that change our eligibility? Answer: Presumably you and your wife are a household of two, and your wife is eligible for Medicare. When you enroll at coveredca. Indicate that you want health coverage, but your wife does not.
    Link: https://cab.unime.it/journals/index.php/MJCP/article/download/2058/pdf
  • Or any Medicare plan? Answer: No, you cannot. Answer: If you are enrolled in Medicare, or are eligible for Medicare Part A at no cost, no, you can't get a plan through Covered California. Most people 65 years old and over are not eligible to enroll in plans through Covered California. From the hotline: Question: How much is the tax penalty? From the hotline: Question: Can I get insurance through my job with a subsidy? Answer: Some employers do offer subsidized health insurance for their employees. Check with your employer. If you're offered affordable health insurance through your employer, you're not eligible for tax credits at Covered California. From the hotline: Question: Our son is turning He will no longer be a dependent on our insurance plan. When he applies, does he need to add mom and dad as part of the household when he files his own taxes and has a job? Answer: No; Mom and Dad are not considered part of your son's household. From the hotline: Question: My son has zero income.
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  • From the hotline: Question: Can you change upgrade or downgrade during the year? Answer: Consumers can renew or make changes during open enrollment and during the special enrollment period if there is a qualifying life event such as recently getting married or moving to another county. Changes in income must be reported to Covered CA within 30 days.
    Link: https://mass.gov/hr-for-state-employees
  • From the hotline: Question: I don't know how to estimate my income for the next year. Any advice? Answer: Some people, particularly freelancers, have a challenging time projecting what their income will be. Many enrollment counselors have helped others in similar situations. One option is to estimate your income, but ask that you not receive in advance all the tax credits you would be eligible for at that income level. Then, if your income is higher than expected, you won't owe as much back when you file your tax return. Of course, if your actual income is less than what you projected, you would get a larger tax refund. From the hotline: Question: Are you still qualified for Covered California if you travel out of the country for an extended period of time? Answer: As long as you maintain your California residency, you're qualified for plans through Covered California.
    Link: https://pdf.examtorrent.com/P2150-739J.pdf
  • However, the plan would likely not pay for medical expenses incurred outside the country. From the hotline: Question: My income fluctuates throughout the year. At times I really can't afford my premium. What can I do? Answer: I would recommend to find a certified enrollment counselor near you for assistance in regards to this matter. They will be able to help you determine your options. Go to coveredca. Answer: When you fill out the application, the system will determine if you are eligible for Medi-Cal.
    Link: http://careers.bmsit.ac.in/77182F9/biotechnology-hosa-practice-test.html
  • Can I get coverage? Immigrants who are not lawfully present are not eligible to purchase a health plan through Covered California; however, they may be eligible for coverage through Medi-Cal. Both lawfully present and not lawfully present individuals can apply through Covered California to see if they are eligible for health plan options through Covered California or Medi-Cal. Answer: For those who had coverage through Covered California in , your A form should be uploaded to your online account by the end of January. A paper copy will also be mailed to you by January If you do not receive your A, please call the Covered California Service Center at I already have my card, so I'm done with the application process.
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  • My question, will I be penalized for not having coverage now? Answer: You may be required to pay a penalty on your California state tax return for being uninsured for two months of the year. Presumably your Medicare coverage starts March 1st, To be safe, you can enroll now in coverage starting January 1st; after paying the premium for January and February, cancel the coverage with an ending date of February 29th. From the hotline: Question: How likely is it for an individual to receive financial help? Answer: Nine out of 10 consumers receive financial help to pay for their Covered California health coverage. Answer: You will make the payment directly to your health plan. If you have not received an invoice, please contact them directly for help. Note: you'll need to pay the first month's premium less, of course, whatever tax credits you are eligible for in order to confirm the enrollment. From the hotline: Question: Do adults have dental coverage through Covered California?
    Link: https://m.youtube.com/playlist?list=PLXWZIfNauquagq_Hj6EYHQ9k7LBEi4pUb
  • Answer: Covered California offers the option to add adult dental coverage for an additional cost when enrolling in a health plan. From the hotline: Question: I live in Amsterdam. I am a US citizen, so I file taxes here in California. Will I be penalized? Answer: Since you residence is outside the US, in theory you should be presumed to have health coverage and therefore should not have to pay the penalty.
    Link: http://zuipvakanties.nl/btd6-replica-cqrs/aromaticity-practice-problems-pdf.html

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