What is a qualified health plan (QHP)?

A qualified health plan (QHP) is a type of health insurance plan that meets certain standards and protections set by the state of California. The goal of these plans is to provide comprehensive health benefits to consumers at an affordable cost. These plans must cover at least 10 essential health benefits, including preventive and wellness services, chronic disease management, and mental health and substance abuse services. They must also limit annual out-of-pocket costs and provide consumers with access to an adequate provider network. Additionally, the plan must be offered through a qualified insurance marketplace and meet certain standards for solvency and financial stability. QHPs are considered the benchmark for health plan coverage in California, meaning that all health plans must meet the same standards regardless of where they are offered. Ultimately, QHPs help to provide comprehensive and quality health care coverage to California consumers.

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