What is a Qualified Health Plan (QHP)?

• A. A certified health plan offered through the Marketplace that provides essential health benefits and protections, and is eligible to receive subsidies
• B. A private plan not offered in the Marketplace
• C. A plan that does not include essential health benefits
• D. A plan only for Medicare beneficiaries

Answer: (A)

A Qualified Health Plan is a plan sold through the Health Insurance Marketplace that meets ACA requirements by offering essential health benefits, providing consumer protections, and being eligible for subsidies. These plans cover a defined set of essential health benefits, limit out-of-pocket costs, and must follow rules designed to protect consumers. Because they appear in the Marketplace and meet these standards, they can qualify for premium tax credits and cost-sharing reductions for eligible shoppers. The other options describe plans outside the Marketplace, plans missing essential benefits, or plans for Medicare beneficiaries, none of which qualify as QHPs.