Sunday , 10 November 2024
Health

All private health insurance plans offered in the Health Insurance Marketplace® must cover the same essential health benefits. Care in these 10 categories of services is covered by all Marketplace plans.

Image
Icons for a prescription drug bottle, pills, syringe, ambulance, and a heart symbolizing cardiac health on a blue background. Text over the image reads "What's covered? 10 essential health benefits."

10 covered benefits:

  • Ambulatory patient services (outpatient care you get without being admitted to a hospital)
  • Emergency services
  • Hospitalization (like surgery and overnight stays)
  • Pregnancy and newborn care (both before and after birth)
  • Mental health and substance use disorder services, including behavioral health treatment, counseling, and psychotherapy
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care (this doesn’t include adult dental or vision coverage)

In addition, plans must also include birth control and breastfeeding coverage. Some plans may offer dental and vision coverage.

Specific services may vary based on your state’s requirements. Get more information on what Marketplace health insurance plans cover.

Leave a comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Related Articles

What you need to know about Limb Amputation Surgery: Causes, Risks, and Recovery?

Have you ever wondered what happens when a limb Amputation is a...

Links

Employee opinions on their health insurance. Republican vs. Democratic physicians. States’ perspective...

There’s an Opportunity for More Providers to Partner with the 988 Lifeline, Execs Say

Two executives at behavioral health care companies discussed why it’s important for...

Media Call: What a Second Trump Administration May Mean for Health Care

Former President Trump’s return to the White House in 2025 could bring...