Which of the following best describes the role of a Qualified Health Plan (QHP)?

A Qualified Health Plan (QHP) plays a critical role in the health insurance landscape, especially within the context of the Health Insurance Marketplace. The primary function of a QHP is to meet specific criteria set forth by the Affordable Care Act (ACA) and to be certified to provide coverage to individuals and families who participate in the Marketplace.

QHPs must cover a comprehensive set of essential health benefits, follow specific rules regarding cost-sharing and network adequacy, and provide coverage without discrimination based on pre-existing conditions. By meeting these requirements, QHPs ensure that they are eligible for enrollment in the Marketplace, where individuals can compare options and select plans that fit their needs.

This role is pivotal in guaranteeing that consumers have access to adequate healthcare coverage that meets standardized measures of quality and benefit. It allows individuals to make informed choices about their health insurance options, fostering a competitive environment while ensuring that essential health services are available.

Other options, such as providing emergency medical services only or offering low premiums to all consumers, do not accurately capture the broader responsibilities and regulatory compliance needed for a QHP. Similarly, limiting coverage options runs counter to the objective of offering robust and comprehensive health coverage that protects consumers. Thus, the correct description of a QHP focuses on