Essential Health Benefits include at least the following items and services:
•Ambulatory patient services (outpatient care you get without being admitted to a hospital)
•Emergency services
•Hospitalization
•Maternity and newborn care (care before and after your baby is born)
•Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
•Prescription drugs
•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)
•Laboratory services
•Preventive and wellness services and chronic disease management
•Pediatric services
Essential health benefits are minimum requirements for all plans in the Marketplace. Plans may offer additional coverage. Plans can be compared side-by-side in the Marketplace.
Get Covered: A one-page guide to the Health Insurance Marketplace