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5 benefits Marketplace plans must cover

Published on July 12, 2018

Did you know that all plans offered in the Marketplace cover the same set of
essential health benefits
? Essential health benefits are minimum requirements for all Marketplace plans.
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5 covered essential health benefits

Every Marketplace health plan must cover:
  • Ambulatory patient services (outpatient care, or care you get without being admitted to a hospital)
  • Emergency services
  • Hospitalization (like surgery and overnight stays)
  • Prescription drugs
  • Laboratory services
Read the full list of covered essential health benefits.

Additional benefits

  • Plans may offer additional benefits, including vision and dental coverage.
  • To find out if a particular service is covered, call your insurance company.
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