What must a plan contain to maintain compliance according to the Affordable Care Act?

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To maintain compliance according to the Affordable Care Act (ACA), a health insurance plan must include minimum essential health benefits. This requirement ensures that health plans cover a core set of services critical for individuals and families, promoting basic healthcare access. The ACA outlines ten essential health benefit categories that must be covered, including emergency services, hospitalization, maternity and newborn care, mental health services, prescription drugs, and preventive services.

By ensuring that a plan includes these essential benefits, the ACA aims to enhance the quality of healthcare coverage and protect consumers from inadequate plans that could leave them vulnerable to high out-of-pocket costs and significant medical debt. Complying with this requirement is fundamental for plans that are to be considered qualified under the ACA, thereby facilitating access to comprehensive healthcare for consumers.

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