published on July 28, 2022
There are 10 categories of services – is called
– All private health insurance plans offered in the K Health Insurance Marketplace® must be covered.
What are the 10 essential health benefits?
- Ambulatory patient services (outpatient care you receive without being admitted to a hospital)
- emergency services
- Hospitalization (such as 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
- Rehabilitation and Housing Services and Devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care (does not include adult dental or vision coverage)
What else does Marketplace cover?
Get more information on what Marketplace health insurance plans cover.