ACA Introduction Set Exam | Questions with 100%
Correct Answers | Verified | Latest Update 2026
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Practice questions for this set
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If you make one benefit richer, you usually must make another leaner to stay
AV-compliant.
Choose an answer
Why are cost-sharing tradeoffs
1 2 The Affordable Care Act (ACA)
required
3 AV compliance 4 Marketplace Eligibility and Coverage
Don't know?
Terms in this set (105)
, The Affordable Care Act (ACA) A federal law signed March 23, 2010 that expanded
health insurance coverage, improved affordability,
and added consumer protections.
ACA Gap Mitigation (Issues High uninsured rates, unaffordable coverage,
addressed) pre‑existing condition exclusions, and coverage
limits.
ACA Marketplaces (Exchanges) Organized markets where individuals and families
can compare plans and receive financial assistance.
On‑exchange versus off‑exchange They can be medically identical; the difference is
plans where they are sold and whether subsidies apply.
Marketplace Eligibility and Coverage People without access to affordable employer
coverage, Medicare, Medicaid, or CHIP.
Essential Health Benefits (EHBs) Ten mandatory benefit categories required in ACA
individual and small‑group plans.
1) Outpatient care
2) emergency
3) hospitalization
4) maternity/newborn
5) mental health/SUD
6) prescription drugs
7) rehab/habilitative
8) labs
9) preventive/chronic
10) pediatric dental/vision
EHBs constraints and benefit design Plans must cover all categories and be
substantially equal to the state benchmark.
Correct Answers | Verified | Latest Update 2026
Save
Practice questions for this set
Learn 1 /7 Study using Learn
If you make one benefit richer, you usually must make another leaner to stay
AV-compliant.
Choose an answer
Why are cost-sharing tradeoffs
1 2 The Affordable Care Act (ACA)
required
3 AV compliance 4 Marketplace Eligibility and Coverage
Don't know?
Terms in this set (105)
, The Affordable Care Act (ACA) A federal law signed March 23, 2010 that expanded
health insurance coverage, improved affordability,
and added consumer protections.
ACA Gap Mitigation (Issues High uninsured rates, unaffordable coverage,
addressed) pre‑existing condition exclusions, and coverage
limits.
ACA Marketplaces (Exchanges) Organized markets where individuals and families
can compare plans and receive financial assistance.
On‑exchange versus off‑exchange They can be medically identical; the difference is
plans where they are sold and whether subsidies apply.
Marketplace Eligibility and Coverage People without access to affordable employer
coverage, Medicare, Medicaid, or CHIP.
Essential Health Benefits (EHBs) Ten mandatory benefit categories required in ACA
individual and small‑group plans.
1) Outpatient care
2) emergency
3) hospitalization
4) maternity/newborn
5) mental health/SUD
6) prescription drugs
7) rehab/habilitative
8) labs
9) preventive/chronic
10) pediatric dental/vision
EHBs constraints and benefit design Plans must cover all categories and be
substantially equal to the state benchmark.
