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Your Health. Our Promise

Essential Health Benefits

What are essential health benefits?

One important protection included in the Affordable Care Act (ACA) is the establishment of a package of essential health benefits that must be included in every health insurance plan.

The essential health benefits are:

  • Ambulatory patient services, such as doctor's visits and outpatient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • 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