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Welp already bad day turned worse
Apparently im not eligible to enroll for insurance through Virginias marketplace. It said at first when we submitted the application i could but now i cant. Even when i could i wouldnt have been able to afford plans for myself
#not like yknow the chronically ill disabled one needs it the most no#give benefits and help to the ones whos working and could possibly afford to pay for insurance#(not blaming lamb just think its stupid that a person in his position qualifies for more help than a person in my position who is helpless)#i cant get aptc cause i dont have an income but i cant work because im disabled but i cant get any better because i cant go to the doctor#but i cant go to the doctor because i dont have insurance and i cant get insurance because i dont have aptc but i cant get aptc because#i dont have an income#make it make sense please
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Me aptc mucho disfrutar contigo en todos los sentidos! Yo llevo las cuerdas y la pasion la ponemos los dos. Q te parece?? Donde quedamos?
🤔🤔 primero quiero ver las cuerdas que eliges, que no quiero heriditas 😋
Y que sean bonitas, gracias 😁
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Vickers 833 Viscount G-APTC. Pictured with a Constellation and Herald. At LGW EGKK in 1966
#Vickers#Viscount#Lockheed#Constellation#Handley Page#Herald#airliner#airlines#passenger aircraft#civil aircraft#British United#Luxair#Heathrow
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also can i 👉👈 have the link to your aptc spotify playlist? 😭😭 im rly close to tears rn
oh boy oh boy can you? yes you can YES consider this an offering, from me to you
This is your due! A fruit of your labor!
btw the playlist I made => [ a pill to crush + things to swallow ] is not particularly well curated but it’s what plays in my head on my bus route when I’m specifically thinking about a pill to crush. It really is on my mind every other day tho. an addiction enabled by Spotify
#also if the link doesn’t work lemme know bc I was having issues w that ugh#literally like and Ettore are just distinct in my mind and it’s because of you#lucemond
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How To Navigate The Pennie Health Insurance Marketplace For First-Time Enrollees?
For first-time enrollees, the Pennie Health Insurance Marketplace offers an accessible way to find affordable health coverage in Pennsylvania. Whether you are self-employed, a small business owner, or simply without employer-provided insurance, understanding how to navigate this platform is key to securing the right coverage. Here’s a step-by-step guide to help you make the most out of your Pennie enrollment process.
Understand What Pennie Offers
Pennie is Pennsylvania’s official health insurance marketplace, created to help residents access health plans under the Affordable Care Act (ACA). It connects you to different health insurance providers offering coverage for individuals, families, and small businesses. The marketplace features a variety of plans with different premiums, deductibles, and out-of-pocket costs. These plans are divided into four metal categories: Bronze, Silver, Gold, and Platinum, depending on how the costs are shared between you and the insurer.
Check Enrollment Periods
Before you begin, it’s important to understand that Pennie has specific enrollment periods. The Open Enrollment Period typically runs once a year, and it’s the time when anyone can sign up for a plan. If you miss this window, you may have to wait until the next year unless you qualify for a Special Enrollment Period due to life events such as marriage, moving, or a job loss. Be sure to check the dates for open enrollment on the Pennie website.
Gather the Necessary Documents
To begin the application process, you will need to gather some important information:
Social Security Number (or immigration documents if applicable)
Income information (tax returns, pay stubs, or other proof of income)
Employer information (if you’re applying through a job-based policy)
Current health coverage details (if applicable)
Having these documents ready will make the enrollment process smoother and faster.
Create a Pennie Account
Visit the Pennie website (pennie.com) to create an account. You will need an email address to register, and you’ll be asked to create a username and password. This account will allow you to access your application, compare plans, and track your enrollment status. Make sure to keep your login details safe, as you will need them for future access.
Use the Eligibility and Cost Estimator
Once your account is set up, use the eligibility and cost estimator tool on the Pennie platform. This tool will help you estimate your premiums, deductibles, and out-of-pocket costs based on your income, household size, and other factors. It’s important to note that many people qualify for subsidies, which can significantly reduce the cost of coverage. These subsidies are based on your income and household size, so make sure to enter this information accurately.
Compare Plans and Choose the Best Option
After using the estimator, you’ll be able to compare different health insurance plans based on coverage and costs. Pay attention to the following when comparing plans:
Premiums: The monthly cost of the plan.
Deductibles: The amount you’ll need to pay out of pocket before your insurance kicks in.
Co-pays and Co-insurance: The amounts you’ll pay for services after your deductible is met.
Network: Ensure the plan covers your preferred doctors and hospitals.
The Silver plans are often the most popular because they offer a good balance of premium costs and out-of-pocket expenses. However, if you expect to need a lot of medical care, you may want to consider a Gold or Platinum plan for lower out-of-pocket costs.
Apply for Financial Assistance
If you qualify for subsidies, Pennie will automatically calculate your eligibility for federal financial assistance programs such as the Advanced Premium Tax Credit (APTC) and Cost Sharing Reductions (CSR). These programs can reduce your monthly premiums and out-of-pocket costs. Make sure to apply for these programs when prompted in your application.
Review and Submit Your Application
Once you have selected your plan and filled out all necessary details, take a moment to review your information carefully. Make sure all personal details, income, and household information are accurate. Submit your application before the deadline to ensure you don’t miss out on coverage.
Pay Your First Premium
After your application is accepted, you’ll receive instructions on how to pay your first premium. Coverage will not begin until your first payment is made. Ensure you pay on time to avoid delays in your coverage.
Follow Up and Manage Your Account
Once you’ve enrolled, you can manage your account and health plan through the Pennie portal. Be sure to report any changes in your circumstances (like changes in income or household size) to ensure your plan and subsidy eligibility remain accurate.
Conclusion
Navigating the Pennie Health Insurance Marketplace can seem overwhelming, but by following these steps, you can confidently choose the right health plan for you. Be sure to take your time, compare your options, and make use of the tools available on the Pennie platform. With the right preparation, you can secure affordable health coverage that meets your needs.
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‘I Love You, You’re Perfect, Now Change’
Asbury Park Theater Company’s (APTC) summer musical, ‘I Love You, You’re Perfect, Now Change,’ is currently running at the Jersey Shore Arts Center in Ocean Grove. This show is an updated version of the nineties production featuring new songs, revised lyrics, and dialogue celebrating the truth and myths of contemporary relationships in a series of sketches and songs.
APTC’s July 13th opening…
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How To Get Pennie Insurance?
Getting health insurance through Pennie, Pennsylvania’s state-based health insurance marketplace, involves several steps. Here’s a comprehensive guide to help you navigate the process:
Step 1: Understand Pennie and Your Eligibility
Pennie is Pennsylvania’s health insurance marketplace where you can shop for and enroll in health insurance plans. It provides options for individuals and families who do not have access to health insurance through an employer or other programs. To be eligible, you must:
Live in Pennsylvania.
Be a U.S. citizen or lawfully present in the U.S.
Not be incarcerated.
Step 2: Create an Account on the Pennie Website
Visit the official website.
Click on “Get Covered” to start the process.
Create an account by providing basic information like your name, address, email, and phone number.
Set up a secure password and choose security questions.
Step 3: Complete Your Application
Once your account is set up, you’ll need to complete an application to determine your eligibility for coverage and financial assistance:
Personal Information: Provide details about yourself and your household, including income, employment status, and immigration status.
Income Information: Accurately report your household income. This will determine your eligibility for subsidies, like the Advanced Premium Tax Credit (APTC) and Cost Sharing Reductions (CSR), which can lower your insurance costs.
Verification: You may need to provide documentation to verify your income, identity, or other information.
Step 4: Explore Plan Options
After submitting your application, you can review the health insurance plans available to you. Consider the following when choosing a plan:
Premiums: The monthly cost of the insurance plan.
Deductibles: The amount you pay out-of-pocket before the insurance starts to cover expenses.
Copayments and Coinsurance: Costs you pay when you receive medical care.
Network of Providers: Ensure your preferred doctors and hospitals are in the plan’s network.
Coverage Benefits: Compare what services are covered, such as prescriptions, mental health care, and preventive services.
Step 5: Apply for Financial Assistance
If your income qualifies, you can receive subsidies to make your health insurance more affordable:
Advanced Premium Tax Credits (APTC): These lower your monthly premium costs.
Cost Sharing Reductions (CSR): These reduce out-of-pocket costs for deductibles, copayments, and coinsurance for eligible individuals.
Step 6: Enroll in a Plan
Once you’ve selected a plan, proceed to enrollment:
Confirm Selection: Review your plan choice and confirm your selection.
Set Up Payment: Pay your first month’s premium to activate your coverage. Pennie will provide payment instructions, which can typically be done online or via mail.
Step 7: Maintain Your Coverage
After enrolling, maintain your coverage by:
Paying Premiums: Ensure timely payment of your monthly premiums to keep your insurance active.
Reporting Changes: Inform Pennie of any changes in income, household size, or address, as these can affect your coverage and eligibility for subsidies.
Step 8: Utilize Your Health Coverage
Once your coverage starts, take full advantage of your health insurance:
Primary Care: Establish a relationship with a primary care physician.
Preventive Services: Utilize free preventive services covered by your plan.
Network Providers: Stay within your plan’s network for the most cost-effective care.
Navigating the Pennie insurance marketplace involves understanding eligibility, creating an account, completing an application, exploring plan options, applying for financial assistance, enrolling in a plan, and maintaining your coverage. By following these steps, you can obtain and manage health insurance coverage that meets your needs and budget.
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Torque 73.5 Nm.
Transmission 6-speed.
Cooling Liquid cooled.
Power in KW 55 kW.
Starter Electric starter.
Stroke 50 mm.
Bore 105 mm.
Clutch APTC(TM) slipper clutch, hydraulically actuated.
The above is a gas gas 700cc they make it for the dirt bike and they have a street bike and they don't sell anymore they have the engine in stock all over the world some of the outside but mostly in the middle areas and we want to break them out and start making bikes and we want to make this company go we're looking for people to get involved we have a lot of stock we have the idea you take the Harley frames and shorten them the tires and rims are usually kind of heavy but there is one style that's light and it spoke and we do use those and they're very high strength we don't like using too many parts because they weigh a ton the gas tank so must other things we know it again we know where to get for the motors important. This engine has 73 foot pounds of torque and about 60 horsepower it is a kick butt motor you're not going to find anything like it the transmission you have to use and it works fine it's very tough it's hard to transition cuz it's for a dirt bike but you'll find that it works better and then it has a lot of power on a cruiser out of the box this thing will go probably 180 mph and we're thinking of taking like the adventure bike frame and and trimming it down all the stuff has to come off yeah including the shocks and everything they weigh a ton and pull the motor out well no if it's assembled we're not going to do that then we have frames and everything and you can't use the shocks they weigh a ton and he says that's great we can sell them as parts and we can sell them as parts and when we're selling them as parts we're going to send the bikes out built and he says he wants a deal and so we say usually you stop it after you find out so we're going to send them out with the parts that's a great idea and we have other parts that work now this is going to work out on the sport bike it's not really a sport bike it said smaller Cafe racer it would go to 20 it's superbike speed 220 mph
Zig Zag
They're getting very annoying so we're going to print Olympus and we have to right now Thor Freya and all of us are saying it but really Hera Zeus
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PÁRAMOS y CAÑONES | 2022/09/24-25
Queríamos apurar los últimos días largos. Y adelantarnos a que el frío llegase hasta la primavera. Trazamos una ruta posible por los páramos, los cañones y los rincones que nos ofrecen las geografías cercanas.
Y bien que lo disfrutamos.
El track, por si aptc: https://es.wikiloc.com/rutas-cicloturismo/paramos-y-canones-115312067
#bikeadventure#cycleadventure#biketouring#cycletouring#bikepushing#microaventuradeproximidad#bikeporn#bikepacking#buscatealgo
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Waterstop Melbourne
Waterstops are made of specially compounded PVC resin suitable for construction and expansion joint areas as well as for water retaining structures. Watersop Melbourne is light in weight and capable of expanding up to 300% of its original size. It is flexible and conformable to irregular substrates. When waterstop is wet, it can shrink to its actual length and expand upon rewetting.
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MEDICAID IMPROPER PAYMENTS REACH $50.3 BILLION
Medicaid improper payments have caused the healthcare program to be on the Government Accountability Office's High-Risk List since 2003. The GAO's list identifies government programs that involve considerable resources and deliver critical services to the public that are vulnerable to fraud, waste, abuse, and mismanagement. For twenty years, Medicaid and other CMS programs have struggled with these improper payments, and it's costing billions. A common misconception is that Medicaid improper payments arise primarily from fraud when the vast majority result from insufficient documentation and eligibility errors. CMS published the following improper payments fact sheet for fiscal year 2023 this month.
Here are the improper payment rates for CMS’ programs in Fiscal Year 2023:
The Medicare Fee-for-Service (FFS) estimated improper payment rate was 7.38%, or $31.2 billion, marking the seventh consecutive year this figure has been below the 10% threshold for compliance established by improper payment statutory requirements.[1] The 2023 rate is not statistically different from the 2022 Medicare FFS estimated improper payment rate of 7.46%.
The Medicare Part C estimated improper payment rate was 6.01%, or $16.6 billion. CMS made significant methodology changes during the past two years’ reporting cycles (FY 2021 and FY 2022), and FY 2023 establishes a baseline; however, it is not statistically different from the 2022 estimated improper payment rate.
The Medicare Part D estimated improper payment rate was 3.72%, or $3.4 billion. This estimated improper payment rate incorporates various methodology refinements. These comprehensive changes contributed to an increase in the FY 2023 estimated improper payment rate, and the rates for FY 2023 are not comparable to previous years.
The Medicaid improper payment rate (comprised of reviews in 2021, 2022, and 2023) was 8.58%, or $50.3 billion, a significant decrease from the 2022 reported rate of 15.62%. Of the 2023 Medicaid improper payments, 82% were the result of insufficient documentation. These payments typically involve situations where a state or provider missed an administrative step and do not necessarily indicate fraud or abuse.
The Children’s Health Insurance Program (CHIP) improper payment rate (comprised of reviews in 2021, 2022, and 2023) was 12.81%, or $2.1 billion, a substantial decrease from the 2022 rate of 26.75%. Of the 2023 CHIP improper payments, 68% were the result of insufficient documentation, which is generally not indicative of fraud or abuse.
The improved performance in the national Medicaid and CHIP improper payment estimates reflect 1) reviews that accounted for certain flexibilities afforded to states during COVID-19, such as suspended eligibility determinations and reduced requirements around provider enrollment and revalidations, which were typically included in the PERM reviews prior to the COVID-19 PHE; and 2) improved state compliance with other program requirements. While it is unclear how much the decrease is attributable to the PHE flexibilities versus improved state compliance, it appears that the PHE flexibilities had an impact on lowering the rate. Please note that the data does not capture any effects of the PHE unwinding, as these will be included in future report periods.
The 2023 improper payment rate for the Advance payment of the Premium Tax Credit (APTC) program for the Federally Facilitated Exchange (FFE) for Benefit Year 2021 (January 1 to December 31, 2021) was 0.58% or $272 million. CMS found that the FFE properly paid an estimated 99.42% of total outlays, or $46 billion, in Benefit Year 2021.
Learn more from the whitepaper "Improper Payments - Medicaid's Billion Dollar Problem"
What You Need to Know:
The Payment Integrity Information Act of 2019 defines significant improper payments as either:
(i) improper payments greater than $10 million and over 1.5% of all payments made under that program, or
(ii) improper payments greater than $100 million.
The 2023 HHS Agency Financial Report provides the improper payment rates for the Medicare Fee-for-Service (FFS), Medicare Part C, Medicare Part D, Medicaid, Children’s Health Insurance Program (CHIP), and Affordable Care Act Health Insurance Exchange Advance payment of the Premium Tax Credit (APTC) programs.
Insufficient documentation
The documentation provided for the items or services billed did not sufficiently demonstrate medical necessity.
The vast majority of improper payments occurred in situations where there was an unintentional payment error or a reviewer could not determine if a payment was proper because of insufficient payment documentation from a state, provider, or the FFE.
While fraud and abuse are one cause of improper payments, not all improper payments represent fraud or abuse. Improper payment estimates are not fraud rate estimates.
Improper payments can result from a variety of circumstances, including:
Items or services with no documentation.
Items or services with insufficient documentation.
Or, with respect to Medicaid, CHIP, and the FFE, no record of the required verification of an individual’s eligibility, such as income.
Proper payments occur when there is sufficient documentation to support payment in accordance with the program payment requirements. Two examples of proper payments include:
Payments where CMS or the state appropriately maintained documentation of an eligibility verification requirement and appropriately determined eligibility based on program eligibility and payment requirements.
Payments where sufficient documentation was provided to support medical necessity in accordance with program payment requirements.
Improper Payment Measurements:
Medicare Fee-for-Service
CMS developed the Comprehensive Error Rate Testing (CERT) program to estimate the Medicare Fee-for-Service (FFS) program improper payment rate.
The CERT program reviews a statistically valid stratified random sample of Medicare FFS claims to determine if they were paid properly under Medicare coverage, coding, and billing rules. If these criteria are not met, the claim is counted as an improper payment.
The majority of Medicare FFS improper payments fall into two categories:
Insufficient documentation
The documentation provided for the items or services billed did not sufficiently demonstrate medical necessity.
Medicare Part C
CMS estimates the Part C Medicare Advantage (MA) improper payments using the Part C Improper Payment Measure (IPM) methodology.
CMS calculates an annual capitated payment for each Medicare beneficiary enrolled in an MA Organization (MAO) based on diagnosis data previously submitted to CMS by the MAO. The diagnosis data are used to determine risk scores and calculate risk-adjusted payments to MAOs for their enrollees. Inaccurate or incomplete diagnosis data may result in improper payments made to MAOs.
CMS conducts the annual Part C IPM activity to estimate the improper payments for the Medicare Part C program due to unsubstantiated risk adjustment data.
Part C IPM reviews the medical record documentation for a statistically valid stratified random sample of Medicare Part C enrollees to ensure the diagnosis data used to determine payment to the MAO are present and in accordance with CMS rules and regulations.
The majority of Part C improper payments fall into three categories:
The MAO’s supporting documentation fails to substantiate the beneficiary diagnosis data submitted for payment
Invalid documentation, such as illegible documentation.
Missing documentation.
Medicare Part D
CMS estimates the Part D Prescription Drug Benefit improper payments using the Part D IPM methodology.
The Medicare Part D IPM primarily focuses on analyzing Prescription Drug Events (PDEs). Each PDE record includes details about a specific prescription transaction, such as the drug prescribed, the quantity, and the associated costs. The PDE data are not the same as individual drug claim transactions but are summary extracts using CMS-defined standard fields.
CMS conducts the annual Part D IPM activity to identify improper payments caused by invalid and/or inaccurate drug claims. These errors could lead to adjustments in beneficiaries’ benefit phases, reinsurance subsidy payments, and CMS payments. Drug claims selected for audit are evaluated using prescription record data and supporting documentation provided by the Part D Plan Sponsors.
The Part D IPM reviews a statistically valid stratified random sample of PDEs to ensure the supporting documentation validates payment attributes and processing was in accordance with CMS rules and regulations.
Part D improper payments fall into three major categories:
Missing or invalid documentation, such as missing authorization.
Drug discrepancies, such as the drug dispensed contains a different active ingredient than the drug prescribed.
Drug pricing discrepancies.
Medicaid & Children’s Health Insurance Program (CHIP)
CMS estimates Medicaid and CHIP improper payments using the Payment Error Rate Measurement (PERM) program.
The PERM program uses a three-year, 17-state rotation, meaning each state is reviewed once every three years, and each cycle measurement includes one-third of all states. The most recent three cycles (for 2023, that is, 2023, 2022, and 2021) are combined to form each year’s overall national rate.
PERM ensures a statistically valid random sample representative of all Medicaid and CHIP payments matched with federal funds.
Medicaid and CHIP improper payment data released by CMS are based on reviews of whether states are implementing their Medicaid program and CHIP in accordance with federal and state payment and eligibility policies.
The national Medicaid and CHIP improper payment rates are based on reviews of the FFS, managed care, and eligibility components of a state’s Medicaid and CHIP program in the year under review.
In addition, the PERM program combines individual state component estimates to calculate the national component estimates. National component rates and the Medicaid and CHIP rates are weighted by state size, such that a state with a $10 billion program is weighted more in the national rate than a state with a $1 billion program.
The majority of Medicaid and CHIP improper payment findings are the result of insufficient or missing documentation.
ACA Exchange Advance Payment of the Premium Tax Credit
CMS estimates Advance payment of the Premium Tax Credit (APTC) improper payments using the Exchange Improper Payment Measurement (EIPM) program.
The EIPM program currently measures improper payments for the Federally Facilitated Exchange (FFE). The improper payment measurement methodology for State-based Exchanges is under development.
The EIPM program measures improper payments based on a statistically valid random sample representative of all health insurance applications with APTC payments processed by the FFE.
APTC improper payment estimates are based on reviews of the FFE compliance with requirements surrounding payment and eligibility determinations.
The majority of APTC improper payments are tied to manual eligibility verifications.
This year is the second year the EIPM program is reporting APTC improper payment information. CMS is reporting improper payment information for calendar year 2021 in the fiscal year 2023 HHS Agency Financial Report.
The APTC program represents the first of two potential[2] payment streams for the overall Premium Tax Credit program. The second payment stream relates to additional Premium Tax Credit amounts claimed by taxpayers at the time of their tax filings, referred to as “Net Premium Tax Credits” (hereafter, “Net PTC”). That is, total Premium Tax Credit outlays (or credits) are equal to APTC payments plus Net PTC claims. The Internal Revenue Service (IRS) measures improper payments associated with Net PTC claims, and for Calendar Year 2021 reported[3] Net PTC claims of $1.97 billion, improper payments of $512.71 million, and an improper payment rate of 26.04%. The combined APTC and Net PTC improper payment estimate is $784.46 million out of $48.47 billion total Premium Tax Credit outlays/claims, or 1.62%. Treasury and HHS are reporting this combined error rate for the Premium Tax Credit program as a whole in both departments’ Agency Financial Reports.
State Medicaid Provider Screening and Enrollment Data and Tools: CMS shares Medicare data to assist states with meeting Medicaid screening and enrollment requirements. For instance, CMS shares the Medicare provider enrollment record via the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) and offers a data compare service allowing states and territories to rely on Medicare’s provider screening in lieu of conducting a separate state screening, which is particularly helpful to states when conducting revalidation.
Enhanced Assistance on State Medicaid Provider Screening and Enrollment: CMS provides ongoing guidance, education, and outreach to states on federal requirements for Medicaid provider screening and enrollment. CMS also assesses provider screening and enrollment compliance, provides technical assistance, and offers states the opportunity to leverage Medicare screening and enrollment activities.
CMS/State Collaboration on Improper Payments:
CMS collaborates with states in many ways to share information and help to ensure they maintain the proper documentation to demonstrate that payments are being made correctly. Examples include:
Medicaid Eligibility Quality Control (MEQC) Program: Under MEQC, states design and conduct pilots to evaluate the processes that determine an individual’s eligibility for Medicaid and CHIP benefits. States have flexibility in designing pilots to focus on vulnerable or error-prone areas as identified by the PERM program and state. The MEQC program also reviews eligibility determinations that are not reviewed under the PERM program, such as denials and terminations.
Medicaid Integrity Institute (MII): CMS offers training, technical assistance, and support to state Medicaid program integrity officials through the MII. More information is located at the Medicaid Integrity Institute website.
More information on CMS’ Improper Payments Measurement Programs can be found at https://cms.gov/ImproperPayments.
To view the HHS Agency Financial Report, visit: http://hhs.gov/afr.
Learn more here.
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What is Recognition of Prior Learning?
If you’ve done a lot of learning in your life that overlaps with the content of your course, you can get this recognised and reduce the amount of study you have to do here. This is called recognition of prior learning (RPL). Carpenter RPL allows you to transfer the knowledge, skills and experience that you have gained in your previous studies, work and/or life experiences into credits that you can apply towards a qualification.
Whether you’re a returning student or an international student, you can apply to have your qualifications recognised through our RPL process. You can do this during the usual application process for your postgraduate course, so make sure you have all your information together beforehand.
The RPL process involves assessing your existing skill, knowledge and experience to determine how they align with those required by a particular unit of competency or the full qualification. The assessment can be based on formal training or non-formal or informal sources of learning such as provider programmes, workshops, seminars, on-the-job training and life experience.
RPL can result in admission to a programme or course of study, the award of credit for specific units of study or exemptions from parts of a course. In addition, it can provide opportunities to enhance your employability, mobility and lifelong learning, and contribute to social inclusion.
To gain credit for your existing learning, you’ll need to compile a portfolio of evidence that clearly demonstrates how your existing learning meets the assessment requirements for your course. This will be assessed by an appointed assessor. The assessment will be based on a holistic approach and may include an interview.
APTC’s RPL policy is designed to ensure that the maximum number of credits you can earn through your prior learning is matched up with the modules you need to complete here in order to achieve a qualification. If you’re planning to apply for RPL, it is recommended that you do so at the start of your study or apprenticeship/traineeship and bring this with you to your Orientation Session together with any relevant evidence, e.g. your CV, copies of certificates and transcripts of past studies and qualifications and work experience.
Generally, you’ll need to meet the minimum requirement of 75% equivalency for your existing learning to be considered as meeting RPL criteria. This is a broad and flexible benchmark. Faculty may also assess your portfolio against a range of other criteria including pedagogical, academic, practical and professional considerations. In some instances, an evaluator may decide that the minimum 75% threshold is not appropriate for assessment of your prior learning and will require you to submit additional documentation. The details of these additional assessments will be agreed between you and the evaluator. The process will be explained in your PLAR assessment plan.
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How To Navigate The Pennie Health Insurance Marketplace For First-Time Enrollees?
For first-time enrollees, the Pennie Health Insurance Marketplace offers an accessible way to find affordable health coverage in Pennsylvania. Whether you are self-employed, a small business owner, or simply without employer-provided insurance, understanding how to navigate this platform is key to securing the right coverage. Here’s a step-by-step guide to help you make the most out of your Pennie enrollment process.
Understand What Pennie Offers
Pennie is Pennsylvania’s official health insurance marketplace, created to help residents access health plans under the Affordable Care Act (ACA). It connects you to different health insurance providers offering coverage for individuals, families, and small businesses. The marketplace features a variety of plans with different premiums, deductibles, and out-of-pocket costs. These plans are divided into four metal categories: Bronze, Silver, Gold, and Platinum, depending on how the costs are shared between you and the insurer.
Check Enrollment Periods
Before you begin, it’s important to understand that Pennie has specific enrollment periods. The Open Enrollment Period typically runs once a year, and it’s the time when anyone can sign up for a plan. If you miss this window, you may have to wait until the next year unless you qualify for a Special Enrollment Period due to life events such as marriage, moving, or a job loss. Be sure to check the dates for open enrollment on the Pennie website.
Gather the Necessary Documents
To begin the application process, you will need to gather some important information:
Social Security Number (or immigration documents if applicable)
Income information (tax returns, pay stubs, or other proof of income)
Employer information (if you’re applying through a job-based policy)
Current health coverage details (if applicable)
Having these documents ready will make the enrollment process smoother and faster.
Create a Pennie Account
Visit the Pennie website (pennie.com) to create an account. You will need an email address to register, and you’ll be asked to create a username and password. This account will allow you to access your application, compare plans, and track your enrollment status. Make sure to keep your login details safe, as you will need them for future access.
Use the Eligibility and Cost Estimator
Once your account is set up, use the eligibility and cost estimator tool on the Pennie platform. This tool will help you estimate your premiums, deductibles, and out-of-pocket costs based on your income, household size, and other factors. It’s important to note that many people qualify for subsidies, which can significantly reduce the cost of coverage. These subsidies are based on your income and household size, so make sure to enter this information accurately.
Compare Plans and Choose the Best Option
After using the estimator, you’ll be able to compare different health insurance plans based on coverage and costs. Pay attention to the following when comparing plans:
Premiums: The monthly cost of the plan.
Deductibles: The amount you’ll need to pay out of pocket before your insurance kicks in.
Co-pays and Co-insurance: The amounts you’ll pay for services after your deductible is met.
Network: Ensure the plan covers your preferred doctors and hospitals.
The Silver plans are often the most popular because they offer a good balance of premium costs and out-of-pocket expenses. However, if you expect to need a lot of medical care, you may want to consider a Gold or Platinum plan for lower out-of-pocket costs.
Apply for Financial Assistance
If you qualify for subsidies, Pennie will automatically calculate your eligibility for federal financial assistance programs such as the Advanced Premium Tax Credit (APTC) and Cost Sharing Reductions (CSR). These programs can reduce your monthly premiums and out-of-pocket costs. Make sure to apply for these programs when prompted in your application.
Review and Submit Your Application
Once you have selected your plan and filled out all necessary details, take a moment to review your information carefully. Make sure all personal details, income, and household information are accurate. Submit your application before the deadline to ensure you don’t miss out on coverage.
Pay Your First Premium
After your application is accepted, you’ll receive instructions on how to pay your first premium. Coverage will not begin until your first payment is made. Ensure you pay on time to avoid delays in your coverage.
Follow Up and Manage Your Account
Once you’ve enrolled, you can manage your account and health plan through the Pennie portal. Be sure to report any changes in your circumstances (like changes in income or household size) to ensure your plan and subsidy eligibility remain accurate.
Conclusion
Navigating the Pennie Health Insurance Marketplace can seem overwhelming, but by following these steps, you can confidently choose the right health plan for you. Be sure to take your time, compare your options, and make use of the tools available on the Pennie platform. With the right preparation, you can secure affordable health coverage that meets your needs.
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(gingerly pokes u with a stick) how do i communicate that i admire u and i want to be friends without sounding creepy hjfdgjfh 👉👈⁉
(jolts and then drops photos of your online presence and screenshots of aptc all over the ground)
when it comes to being creepy and potentially parasocial I am, in fact, all up in your business on Twitter or ao3 and now Tumblr, so take that as you will. also I’d love to be friends jsjdkf although I’m not active on Twitter because it terrifies me, as does Discord BUT we can work it out I believe in us
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