Qualified Health Benefit Plan
A Qualified Health Benefits Plan is a healthcare plan that follows rules included in the proposed Affordable Health Care for America Act, preceded by America's Affordable Health Choices Act of 2009. These rules include offering a standard set of services, which includes hospital and outpatient care, mental health, prevention, well-child care, and maternity care.
H.R. 3962 would require private insurance plans and the public health insurance option to adhere to a set of standards:
- Guaranteed renewal of insurance
- Guaranteed acceptance, regardless of a person's current health or health history.
- A cap on out-of-pocket costs
- Allow the use of affordability credits so that those with lower incomes can afford insurance
- Competition in the market place and efficiency requirements for private plans to bring the cost of premiums down
It also requires that the public plan be national – available everywhere in the United States.
