Which health insurance plans are NOT required to provide Essential Health Benefits under the Affordable Care Act?

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Prepare for your Accident and Health Insurance Agent/Broker Exam. Use flashcards and multiple choice questions to enhance your knowledge. Each question includes hints and explanations. Get exam-ready now!

The correct choice highlights that grandfathered health insurance plans are not required to provide Essential Health Benefits as mandated by the Affordable Care Act (ACA). Grandfathered plans are those that were in existence on March 23, 2010, when the ACA was enacted, and that have not undergone significant changes in coverage or costs. These plans can maintain their original structure and features, which means they can be exempt from some new ACA requirements, including the provision of Essential Health Benefits.

Essential Health Benefits include a comprehensive set of health services that plans are required to cover, such as emergency services, maternity and newborn care, and pediatric services. However, grandfathered plans are allowed to maintain their status without offering these mandated benefits, as they were established prior to the law's implementation.

Other options, such as individual health insurance plans, basic health programs, and small group health insurance plans, must adhere to the ACA's requirements, including the provision of Essential Health Benefits. Thus, they are not categorized as grandfathered plans and are subject to the full scope of ACA regulations.

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