Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Under the Affordable Care Act, a Qualified Health Plan (QHP) is:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
A Qualified Health Plan is a health plan certified by a health insurance exchange as meeting ACA requirements, including providing the essential health benefits and complying with cost-sharing, network adequacy, and other certification standards. Only QHPs are offered through the exchanges, and in California the exchange is Covered California. QHPs are the exchange-certified products of the individual and small-group markets under the ACA definitions, and the term is one of the core ACA definitions tested in the exam.
Why the other options are wrong
- B) Not every employer plan is a QHP; QHP status requires certification by an exchange and satisfaction of ACA standards.
- C) Medicare Advantage plans are certified by CMS under federal Medicare rules, not by the ACA exchanges, and are not QHPs.
- D) Limited accident policies are not QHPs and do not meet the essential health benefit and certification requirements.
Memory hook
QHP = the exchange-approved stamp of approval: certified by the marketplace and packed with essential health benefits.