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What is inside your Health Care Plan?
Plans offered to cover these essential health benefits:
What is inside your Health Care Plan?
Plans offered to cover these essential health benefits:
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Emergency services
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Emergency services
Hospitalization (like surgery and overnight stays)
Hospitalization (like surgery and overnight stays)
Pregnancy, maternity, and newborn care (both before and after birth)
Pregnancy, maternity, and newborn care (both before and after birth)
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Laboratory services
Laboratory services
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Preventive and wellness services and chronic disease management (Office Visits)
Preventive and wellness services and chronic disease management (Office Visits)
Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)
Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)
Prescription Drugs
Prescription Drugs
Additional benefits
Plans must also include the following benefits:
Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements. Plans may offer additional benefits, including:
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Vision coverage
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Medical management programs (for specific needs like weight management, back pain, and diabetes)