Covered California Certified Enroller Practice Exam

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What does the Hospital Presumptive Eligibility Program (HPE) provide to qualified individuals?

  1. Permanent Medi-Cal coverage

  2. Immediate access to temporary, no-cost Medi-Cal

  3. Extended health insurance benefits

  4. Coverage for dental services

The correct answer is: Immediate access to temporary, no-cost Medi-Cal

The Hospital Presumptive Eligibility Program (HPE) is designed to provide immediate access to temporary Medi-Cal coverage for individuals who meet certain eligibility requirements. This program allows qualified individuals to receive essential health services without the long wait sometimes associated with the full Medi-Cal application process. Specifically, HPE offers a streamlined way for those needing urgent care to gain temporary health coverage while their Medi-Cal application is processed or evaluated. This temporary coverage includes crucial health services and eliminates any immediate financial barriers to receiving care, especially in a hospital setting. Individuals are typically assessed for HPE eligibility based on their income and household size, ensuring that those who are most in need can access the services without delay. In contrast, permanent Medi-Cal coverage refers to a long-term health care option that requires a more comprehensive application process, while extended health insurance benefits and coverage for dental services do not accurately capture the primary purpose of the HPE program, which focuses on providing immediate, temporary access to Medi-Cal.