What is a qualified health plan (QHP)?

A qualified health plan (QHP) is a type of health insurance plan in Hawaii that is certified by the state’s health insurance exchange and meets quality and coverage standards. Hawaii’s health insurance exchange, The Hawaii Health Connector, is a marketplace of plans offered by private insurance companies which provide a range of coverage options and benefits. In order to be considered a QHP, a plan must meet certain standardized requirements such as offering a comprehensive benefits package, agreeing to set premium rates that are based solely on age, geography, and family size, and abiding by certain network adequacy standards. QHPs must also provide preventive care services without charging deductibles, copayments, or coinsurance before an individual meets their deductible, and must maintain adequate networks of providers to ensure access to necessary medical services for members. QHPs play an important role in Hawaii’s health insurance system, as they are required to offer affordable, comprehensive coverage options that meet certain standards. By requiring these plans to adhere to such requirements, Hawaii ensures that consumers have access to quality and affordable coverage options.

Related FAQs

What types of health insurance are available?
How can I get health insurance?
What is the difference between an HSA and a FSA?
What is a lifetime maximum?
What is an administrative appeal?
What is a Medicare Advantage plan?
What is a primary care physician (PCP)?
What is a health insurance rider?
What is a health insurance subsidy?
What are the different types of health insurance deductibles?

What is a qualified health plan (QHP)?

Related FAQs

Related Blog Posts