I presume that your question regards health insurance that meets the requirements of the Affordable Care Act (ObamaCare) and that will allow such a policyholder to not be subject to the tax penalty associated with the individual mandate provisions of the law. To meet these requirements an individual or group major medical insurance plan (unless it is a grandfathered policy) must cover the Minimum Essential Benefits required under the Affordable Care Act (ACA). It would take too much space to list them in this answer.
However, some high points are that fully insured major medical plans sold after January 1, 2014 can't decline a person for coverage, can't apply pre-existing condition exclusions or limitations and must cover pre-existing conditions immediately, an expanded range of preventive health care services must be covered at 100% with no cost sharing by the subscriber, maternity must be covered as any other illness (this is a major change in the individual insurance marketplace in most states), it cannot have an out-of-pocket maximum exceeding $6350 and there can be no lifetime maximums on coverage.
Any plan that doesn't cover the Minimum Essential Benefits does not qualify as major medical coverage under the terms of the ACA. Some good examples would be Short Term Medical insurance policies and limited benefit plans (these plans generally pay a fixed amount per day that someone is in the hospital or a fixed amount for a doctor visit regardless of total expenses incurred). Persons covered under such plans in 2014 will find themselves subject to a tax penalty of $95 per person or 1% of their Modified Adjusted Gross Income when they file their 2014 taxes in 2015. This tax penalty will increase in subsequent years.
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However, some high points are that fully insured major medical plans sold after January 1, 2014 can't decline a person for coverage, can't apply pre-existing condition exclusions or limitations and must cover pre-existing conditions immediately, an expanded range of preventive health care services must be covered at 100% with no cost sharing by the subscriber, maternity must be covered as any other illness (this is a major change in the individual insurance marketplace in most states), it cannot have an out-of-pocket maximum exceeding $6350 and there can be no lifetime maximums on coverage.
Any plan that doesn't cover the Minimum Essential Benefits does not qualify as major medical coverage under the terms of the ACA. Some good examples would be Short Term Medical insurance policies and limited benefit plans (these plans generally pay a fixed amount per day that someone is in the hospital or a fixed amount for a doctor visit regardless of total expenses incurred). Persons covered under such plans in 2014 will find themselves subject to a tax penalty of $95 per person or 1% of their Modified Adjusted Gross Income when they file their 2014 taxes in 2015. This tax penalty will increase in subsequent years.