"Accreditation Status” and “Consumer Experience”

Last updated: October 7, 2015

Understanding These Terms

What Does the Health Plan “Accreditation Status” Information on the Exchange Web Page Mean?

Accreditation is a comprehensive process by private, non-profit organizations. They review how well health plans deliver care and how they work to improve the delivery of care over time.

Health plans offered through the Health Insurance Marketplace must be certified by a recognized accrediting body, such as

Part of a health plan’s certification requires that the plan be accredited by a recognized accrediting entity within a certain time-frame. Accreditation ensures that the plans sold on the Health Insurance Marketplace meet minimum quality standards in the Affordable Care Act (ACA) for:

  • Access
  • Non-discrimination

  • And marketing

What Does the Health Plan “Consumer Experience” Information on the Health Insurance Marketplace Web Page Mean?

Consumer experience ratings come from surveys that ask people who have coverage how they like their plan. These people also rate the quality of the medical care they receive. As well as the accessibility of the medical care that they need.

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