The slides summarize tips presented
by CMS subject matter experts on how you can help consumers manage their more
complex health coverage situations, such as:
- Determining if a consumer’s household is a multi-tax
household and, if so, how to group family members for enrollment in
qualified health plans (QHPs)
- Enrolling family members for reasons of preference in
different QHPs
- Applying for, allocating, and reconciling advance
payments of the premium tax credit in these complex situations
- Making decisions when consumers have eligibility
options (e.g., choice of QHP coverage or other coverage like Medicare,
Medicaid, or the Children’s Health Insurance Program)
- Transitioning from a QHP to other coverage
The slides also present a number of scenarios to show how this guidance is applied to help individual consumers and families, and provides links to relevant reference materials for more information.
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