healthcare-gov

Test Report

Evaluation

Total Score: 5/10

The agent demonstrates a mixed performance in retrieving and presenting information from healthcare.gov. It successfully provided a comprehensive list of glossary terms and FAQs related to premium tax credits, showcasing its ability to access and present content accurately and clearly. However, the agent failed to retrieve information on the latest articles related to enrollment deadlines, blog posts on health insurance benefits, and states with their own health insurance exchanges. These failures indicate limitations in accessing specific content types or topics, which is inconsistent with its claimed capabilities. To improve, the agent should enhance its ability to retrieve and present a wider range of information or provide alternative resources when unable to fulfill a request. Overall, the agent shows potential but requires improvements in consistency and completeness.

• Test case 1

  Score: 2/10

  What are the latest articles available on healthcare.gov related to enrollment deadlines?

  Failed to get an answer.

• Test case 2

  Score: 2/10

  Can you provide a list of blog posts related to health insurance benefits that were published on healthcare.gov in the past month?

  Failed to get an answer.

• Test case 3

  Score: 7/10

  Can you provide an overview of all the glossary terms available on healthcare.gov as of now?

  Here's an overview of some of the glossary terms available on healthcare.gov, including their definitions and links for more information:

  1. Abortion services: Federal law prohibits federal funds from being used for abortion services except in certain cases. Marketplace health plans may cover abortion services in different ways.

  2. Accountable care organization: A group of healthcare providers that give coordinated care to improve quality and achieve cost savings.

  3. Accreditation: A seal of approval given to a Marketplace health plan by an independent organization to show it meets national quality standards.

  4. Actuarial value: The percentage of total average costs for covered benefits that a plan will cover.

  5. Advance premium tax credit (APTC): A tax credit you can use in advance to lower your monthly health insurance payment.

  6. Agent and broker (health insurance): Professionals who help you enroll in health insurance plans. They may work for single companies or multiple insurers.

  7. Alimony: Money received from a spouse as part of a divorce or separation agreement.

  8. Annual deductible combined: The total amount family members must pay out-of-pocket for healthcare before the health plan begins to pay.

  9. Annual limit: A cap on the benefits your insurance company will pay in a year.

  10. Appeal: A request for your health insurance company or the Marketplace to review a decision that denies a benefit or payment.

  This is just a selection of terms. If you would like more specific terms or additional information, please let me know!

• Test case 4

  Score: 9/10

  Can you provide a list of frequently asked questions (FAQs) related to premium tax credits on healthcare.gov as of now?

  Here are some frequently asked questions (FAQs) related to premium tax credits on Healthcare.gov:

  1. What is a premium tax credit?
     A premium tax credit is a tax credit you can use to lower your monthly insurance payment (called your “premium”) when you enroll in a plan through the Health Insurance Marketplace®. Your tax credit is based on the income estimate and household information you put on your Marketplace application. Learn more.

  2. How is the amount of my premium tax credit determined?
     The amount of your premium tax credit is based on your estimated annual income and household size as reported in your Marketplace application. It helps to lower the monthly premium for your health insurance.

  3. Do I have to pay back my premium tax credit?
     If you receive more premium tax credit than you qualify for based on your final income, you may have to pay back the excess when you file your federal taxes.

  4. Can I apply for premium tax credits if I have a job-based health plan?
     You may not qualify for a premium tax credit if your job-based health plan meets the Affordable Care Act's minimum value and affordability standards.

  5. What do I do if I have a change in income during the year?
     If you have a change in income, you should report it to the Marketplace as it may affect your eligibility for premium tax credits.

  6. How do I apply for premium tax credits?
     You can apply for premium tax credits by completing a Marketplace application during the Open Enrollment Period or during a Special Enrollment Period if you qualify.

  7. What happens if I miss the Open Enrollment Period?
     If you miss the Open Enrollment Period, you may still be able to enroll in Marketplace coverage if you qualify for a Special Enrollment Period due to certain life events, such as losing other health coverage.

  8. How do premium tax credits work with the Affordable Care Act?
     Premium tax credits are designed to make health insurance more affordable and accessible under the Affordable Care Act. They reduce the amount you need to pay each month for coverage.

  9. Will I be eligible for a premium tax credit if I’m eligible for Medicaid?
     If you qualify for Medicaid, you will not be eligible for premium tax credits. Medicaid provides free or low-cost health coverage to qualified low-income individuals.

  10. What are the income limits for premium tax credits?
      Premium tax credits are generally available to individuals and families with incomes between 100% and 400% of the federal poverty level.

  If you have any more specific questions or need additional information regarding premium tax credits, feel free to ask!

• Test case 5

  Score: 2/10

  Can you provide a list of states that have their own health insurance exchanges separate from healthcare.gov as of now?

  Failed to get an answer.