Practice Quiz

Managed Care Nursing

Category - Patient Issues

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You have a patient who has received an unfavorable decision from the health insurance marketplace.

Which of the following statements is an accurate and appropriate response to the patient? Choose all that apply.
  1. The marketplace is a private entity, decisions are final
  2. The patient can find an appeal form by eligible state on the marketplace website
  3. The patient may be able to file an appeal if they think they are eligible for lower costs
Explanation
Answers: B and C-A patient who receives an unfavorable decision from the health insurance marketplace can find an appeal form by eligible state on the marketplace website and may be able to file an appeal if they think they are eligible for lower costs of plan. There are additional eligible appeals topics as well.
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