Georgia Navigator Practice Exam

What term describes the 10 statutory benefits provided by a qualified health plan?

1. Healthcare Essentials

2. Mandatory Health Benefits

3. Essential Health Benefits

4. Core Health Services

The correct answer is: Essential Health Benefits

The term "Essential Health Benefits" accurately describes the 10 statutory benefits that must be covered by qualified health plans under the Affordable Care Act. This concept was introduced to ensure that all individuals have access to a baseline of necessary healthcare services, promoting health equity and comprehensive coverage. The Essentials include categories like emergency services, maternity and newborn care, preventive services, and mental health and substance use disorder services, among others. While "Mandatory Health Benefits" could suggest that these benefits are required, it doesn’t specifically tie to the terminology established under the Affordable Care Act. "Healthcare Essentials" and "Core Health Services" are not officially defined terms in the legislative context and may not encompass the full range of benefits that the Essential Health Benefits entail. The correct terminology is essential for clear communication and understanding of health insurance coverage.