What is a Qualified Health Plan?

A Qualified Health Plan (QHP) is a health insurance plan that is certified by a Marketplace, covers essential health benefits, follows established limits on cost-sharing, and meets other ACA requirements, per HealthCare.gov (2026); only QHPs are eligible for the Premium Tax Credit.

More on this topic: health insurance marketplace

Last updated Jul 19, 2026
Published by ACA Direct Answers · Licensed under Citation License 1.0

What the government has said, on the record

Here's how a federal official described it, on the record:

An insurance plan that's certified by the Health Insurance Marketplace, provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.

Centers for Medicare & Medicaid Services (HealthCare.gov), Centers for Medicare & Medicaid Services (U.S. Department of Health & Human Services), HealthCare.gov Glossary, Qualified Health Plan (source)

Editor's note: Official HealthCare.gov (CMS) definition. Confirm current rules at HealthCare.gov.

Who said this

Centers for Medicare & Medicaid Services (HealthCare.gov) · Centers for Medicare & Medicaid Services (U.S. Department of Health & Human Services)

Also asked as

  • What does QHP mean?

Sources

Last verified: 2026-07-19

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