Network Adequacy Standards
For QHP (Qualified Health Plan) certification, a plan must have an adequate provider network available to its enrollees. A QHP must:
- Offer a network with a sufficient number of providers, including mental health and substance abuse providers, to ensure access to all services without unreasonable delay; and
- In addition to the overall network adequacy requirement, a QHP’s network must include a sufficient number and geographic distribution of essential community providers to ensure reasonable and timely access to care for low-income and medically-underserved populations in the QHP’s service area.
Next Topic: Rate Reviews
Agents and Brokers are required to be trained to assist consumers with the application and decision making process. Using an Agent to enroll in a ObamaCare Health Plan will be the primary choice of many americans. After all agents have the inside track on companies and their promptness to handle claims and pay benefits in atimely fashion.
Our Agents are available 7 days a week.
We offer a free consultation which entails speaking one on one with a knowledgable Agent that has been state licensed and trained to answer your questions.
Next Topic: Coverage Basics
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*ExploreObamacare.com is not affiliated with any government agency. All information provided is for informational purposes only and no guarantee of the accuracy is hereby implied. The information was the product of researching the Affordable Care Act Bill and is subject to change.