What are Essential Health Benefits and what do they cover?

What Are Essential Health Benefits?

All ACA-compliant health plans must cover 10 categories of Essential Health Benefits:

1. Ambulatory (outpatient) services

2. Emergency services

3. Hospitalization

4. Maternity and newborn care

5. Mental health and substance use disorder services

6. Prescription drugs

7. Rehabilitative services and devices

8. Laboratory services

9. Preventive and wellness services

10. Pediatric services (including dental and vision)

These benefits ensure comprehensive coverage across all qualified health plans.

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