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 that is certified by an exchange — in California, Covered California — as meeting the standards of the Affordable Care Act, and that is offered through that exchange. Certification requires the plan to cover the essential health benefits, meet actuarial value requirements, and comply with network adequacy, rate, and consumer protection standards. Only exchange-certified QHPs make the purchaser eligible for premium tax credits. Employer self-funded plans, Medicare Advantage products, and short-term policies are regulated under different frameworks and are not QHPs sold on the exchange.
Why the other options are wrong
- B) Self-funded employer plans are group coverage, not exchange-certified QHPs.
- C) Medicare Advantage is a Medicare program product, not a QHP.
- D) Short-term limited-duration policies are explicitly not QHPs and are sold outside the exchange.
Memory hook
QHP = exchange-certified plan with an ACA badge.