Qualified Health Plans (QHPs)


To establish benchmarks that plans must satisfy to be offered in the individual, small employer group plan market or on an Exchange


To assure individuals that a health plan purchased in the individual or small employer group market or Exchange satisfies certain standards for coverage and out-of-pocket expenses the individual could incur

Related Provision:

Minimum Value of Coverage
Essential Health Benefits
Cost-Sharing Limits
Maximum Deductible Limit

Health Plans Affected by this Provision:

Year Effective: 2014
Medical Plan: For individual or small employer group plans
Dental/Vision Plan: Not applicable
HRA: Not applicable
Health Care FSA: Not applicable

Document Downloads:

Document Title Last Updated
Qualified Health Plan Flyer  
PHSA Qualified Health Plans (QHPs)  
HealthCare.gov Guide, November, 2012 11/01/2012