ACA Essential Health Benefits & Plan Types

Question 1

Which of the following is one of the 10 Essential Health Benefits mandated by the ACA?

Accepted Answer

Pediatric services, including oral and vision care

Answer

Pediatric services including oral and vision care is one of the 10 mandated EHBs; adult dental, long-term care, and cosmetic surgery are not included.

Question 2

What is the actuarial value of a Gold plan under the ACA?

Accepted Answer

80%

Answer

Gold plans have an actuarial value of 80%, meaning the plan pays 80% of covered healthcare costs on average for a standard population.

Question 3

Which metal tier has the HIGHEST actuarial value under the ACA?

Accepted Answer

Platinum

Answer

Platinum plans have the highest actuarial value of 90%, meaning insurers cover 90% of covered healthcare costs for a standard population.

Question 4

What is the actuarial value of a Silver plan in the ACA marketplace?

Accepted Answer

70%

Answer

Silver plans have an actuarial value of 70%, covering 70% of expected covered healthcare costs on average.

Question 5

Which of the following is NOT one of the 10 Essential Health Benefits under the ACA?

Accepted Answer

Adult dental care

Answer

Adult dental care is not one of the 10 EHBs; pediatric oral care is required, but comprehensive adult dental coverage is not mandated.

(ACA) Affordable Care Act Certified Practice Test

(ACA) Affordable Care Act Certified Practice Test

ACA Essential Health Benefits & Plan Types