Certified Application Counselor Practice Test

What are the three eligibility criteria for Cost-Sharing Reductions (CSRs)?

1. Household size, age, and income

2. Income between 100%-250% FPL, APTC eligibility, and enrollment in a Silver plan

3. Employment status, income level, and tax filing status

4. Age, residency status, and enrollment in any plan

The correct answer is: Income between 100%-250% FPL, APTC eligibility, and enrollment in a Silver plan

The correct choice highlights the key requirements for individuals to qualify for Cost-Sharing Reductions (CSRs). Individuals must have an income that falls between 100% and 250% of the Federal Poverty Level (FPL), as this range is specifically defined for CSR eligibility. If a person is eligible for the Advance Premium Tax Credit (APTC), it indicates that their income falls within a qualifying range related to the FPL, which is essential for accessing CSRs. Additionally, enrollees must be signed up for a Silver plan through the Health Insurance Marketplace. Silver plans are uniquely designed to offer the Cost-Sharing Reductions that can significantly lower out-of-pocket costs, such as deductibles, copayments, and coinsurance, making healthcare more affordable for low- to moderate-income individuals. The other options, while encompassing various aspects of health insurance eligibility, do not specifically address the requirements for Cost-Sharing Reductions. Therefore, the accuracy of answer choice B stems from the fact that it explicitly outlines the necessary criteria needed for CSRs, making it the most relevant choice for this question.