Market coverage and key health benefits


    Posted on July 28, 2022

    There are 10 service categories is called

    which must cover all private health insurance plans offered on the Health Insurance Marketplace®.

    What are the top 10 health benefits?

    • Outpatient care (outpatient treatment you receive without hospitalization)
    • Emergency services
    • Hospitalization (eg surgery and overnight stay)
    • Pregnancy and newborn care (both before and after birth)
    • Mental health and substance abuse services, including behavioral treatment, counseling and psychotherapy
    • Prescription drugs
    • Rehabilitation and wellness services and devices
    • Laboratory services
    • Preventive and health services and treatment of chronic diseases
    • Pediatric services, including oral and vision care (this does not include adult dental and vision services)

    What else does Marketplace cover?

    Learn more about what Marketplace health insurance plans cover.

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