Marketplace coverage & essential health benefits

Revealed on July 28, 2022

There are 10 classes of providers — referred to as

— that each one non-public medical insurance plans supplied within the Well being Insurance coverage Market® should cowl.

What are the ten important well being advantages?


    • Ambulatory affected person providers (outpatient care you get with out being admitted to a hospital)


    • Emergency providers


    • Hospitalization (like surgical procedure and in a single day stays)


    • Being pregnant and new child care (each earlier than and after delivery)


    • Psychological well being and substance use dysfunction providers, together with behavioral well being therapy, counseling, and psychotherapy


    • Prescribed drugs


    • Rehabilitative and habilitative providers and units


    • Laboratory providers


    • Preventive and wellness providers and persistent illness administration


    • Pediatric providers, together with oral and imaginative and prescient care (this doesn’t embrace grownup dental or imaginative and prescient protection)



What else does the Market cowl?


Get more information on what Marketplace health insurance plans cover.


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