Which term refers to the set of health care service categories that must be covered by certain health plans under the Affordable Care Act?

Study for the Indiana Insurance Navigator Test. Practice with flashcards and multiple choice questions, each question offers hints and explanations. Get fully prepared for your certification exam!

The term that refers to the set of health care service categories that must be covered by certain health plans under the Affordable Care Act is "Essential Health Benefits." This concept outlines a set of at least ten categories of services that health plans are required to cover, ensuring that individuals have access to critical health care services. These categories include services such as emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, and others.

The inclusion of Essential Health Benefits is a key provision of the Affordable Care Act, aimed at enhancing the quality and availability of health insurance coverage for Americans. By mandating these benefits, the law seeks to prevent insurers from excluding coverage for necessary treatments, thus supporting the health and well-being of individuals.

The other terms listed do not accurately reflect the specific requirements established by the Affordable Care Act regarding health plan coverage. For instance, Healthcare Access Standards do not specifically define the required services but may relate to the overall accessibility of health care. Basic Care Coverage and Comprehensive Health Services are not official terms within the ACA and may not encompass the breadth of services outlined in Essential Health Benefits.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy