Qualified Health Plan

« Back to Glossary Index

A qualified health plan is a type of health insurance plan that meets certain standards and requirements set by the Affordable Care Act (ACA). To be considered a qualified health plan, a plan must:

  • Offer a set of essential health benefits, which include coverage for things like hospitalization, prescription drugs, and preventive care
  • Limit out-of-pocket costs for essential health benefits
  • Meet certain standards for cost-sharing, such as deductibles and copayments
  • Be offered through the ACA’s Health Insurance Marketplace (also known as the “exchange”) or be a grandfathered health plan

Qualified health plans are required to cover a minimum percentage of the costs of covered benefits, and they must provide a Summary of Benefits and Coverage (SBC) that clearly explains the plan’s benefits, coverage, and costs. Qualified health plans may be offered by insurance companies, employer group plans, or other organizations, and they may be available to individuals, families, and small businesses.

« Back to Glossary Index

Related Medical Device Reviews

Alzheimer’s Disease

Alzheimer’s disease is a progressive neurodegenerative disorder that primarily affects older adults, leading to severe cognitive decline and memory loss. It is the most common

Read More »

Parkinson’s Disease

Parkinson’s Disease (PD) is a progressive neurological disorder that primarily affects movement. It develops gradually, often starting with barely noticeable tremors in just one hand.

Read More »

“Educate yourself. Be Prepared. Avoid Stress”.

Patient9 helps you choose which medical device is best for you.

Welcome to Patient9 medical device review – recommended website for patients. With specific information and tools created for patients and caregivers, you can get educated, reduce stress, and learn what to expect.

Scroll to Top