Georgia Navigator Practice Exam

Which type of health plan is certified by the marketplace to provide essential health benefits?

1. Grandfathered Health Plan

2. Qualified Health Plan

3. Short-Term, Limited Duration Insurance

4. Job-Based Insurance

The correct answer is: Qualified Health Plan

A Qualified Health Plan (QHP) is specifically certified by the health insurance marketplace to ensure it meets the standards set forth by the Affordable Care Act (ACA), which includes providing essential health benefits. These essential health benefits encompass a comprehensive range of services such as emergency services, maternity care, mental health services, prescription drugs, and more, ensuring that consumers have access to necessary healthcare without facing exorbitant costs. This designation as a QHP ensures that the plan adheres to specific criteria, thus providing some degree of assurance to consumers about the quality and comprehensiveness of the coverage they are purchasing through the marketplace. This kind of certification is important for consumers who are evaluating health insurance options to ensure they are selecting coverage that meets their health needs and complies with health regulations. In contrast, plans like grandfathered health plans, short-term limited duration insurance, and job-based insurance do not necessarily carry the same certification from the marketplace to provide essential health benefits, which can result in varying levels of coverage and potentially significant gaps in benefits.