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
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