Georgia Navigator Practice Exam

Which feature best distinguishes a Qualified Health Plan from other insurance types?

1. Requirement for one year of continuous coverage

2. Certification by a federal marketplace

3. Flexible coverage tailored to individual needs

4. No maximum limit on coverage

The correct answer is: Certification by a federal marketplace

A Qualified Health Plan (QHP) is best distinguished by its certification by a federal marketplace. This certification ensures that the plan meets specific requirements established under the Affordable Care Act (ACA), including essential health benefits, limitations on cost-sharing, and compliance with consumer protections. When a health plan is certified as a QHP, it means that it is eligible to be sold through the Health Insurance Marketplace, allowing individuals to purchase coverage and potentially qualify for premium tax credits or other financial assistance based on their income. The certification process is critical as it sets QHPs apart from other types of insurance, which may not adhere to the same standards or may not provide the same level of consumer protection. The other choices relate to aspects that may not necessarily apply exclusively to QHPs. Continuous coverage can be a requirement for certain plans but is not a defining feature of QHPs specifically. Flexible coverage is often a characteristic of various insurance plans but does not uniquely identify a QHP. Lastly, while many plans have limits on coverage, QHPs are required to adhere to certain standards defined by the ACA, but not all insurance plans have the same limitations or maximum coverage aspects. Therefore, certification by a federal marketplace is the key feature that distinctly identifies a Qualified