Georgia Navigator Practice Exam

What does the term Minimum Value mean in a health insurance plan?

1. A plan that covers at least 80% of total costs

2. A plan that pays at least 60% of total costs of medical services

3. A standard for basic coverage that includes emergency services only

4. A plan that requires high deductibles before coverage begins

The correct answer is: A plan that pays at least 60% of total costs of medical services

The term Minimum Value in a health insurance plan refers to a standard that ensures the plan pays for at least 60% of the total costs of medical services. This measure is significant because it helps determine whether a health insurance coverage meets the Affordable Care Act (ACA) requirements and is deemed adequate for consumers. Plans meeting the Minimum Value standard generally provide a level of financial protection that is considered acceptable for participants. In this context, the minimum required payment ensures that individuals are not bearing the entirety of their healthcare costs, promoting broader access to necessary medical services. This is particularly important for maintaining a sustainable and accessible healthcare system, as it encourages more individuals to obtain insurance coverage that provides adequate assistance in managing health-related expenses.