September 10, 2020

Marketplace health benefits & coverage: What to know

All plans offered in the Marketplace, cover a set of 10 essential health benefits, including ambulatory patient services, emergency care, and pregnancy, maternity, and newborn care.

Image: See what’s covered by Marketplace insurance plans

See the full list of covered essential health benefits. Specific services covered can vary based on your state’s requirements. Some plans may offer vision, dental, and medical management programs. When comparing plans, you’ll see exactly what each plan offers.

Also covered: Preventive care & coverage for pre-existing conditions

Marketplace plans cover a set of preventive services, like shots and screening tests, at no cost to you when delivered by a provider in your plan’s network.

No insurance plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started, including pregnancy.

Learn more about what Marketplace health insurance plans cover.