All Marketplace insurance plans cover the same set of 10 essential health benefits. These include doctor visits, hospitalization, mental health services, prescription drugs, and more. This is true for all 5 plan categories.
All Marketplace plans must also cover treatment for pre-existing conditions.
All plans must cover some screenings, immunizations, and other preventive services before you’ve met your deductible. Many health insurance plans cover other benefits like doctor visits and prescription drugs before you’ve met your deductible.
Essential health benefits are minimum requirements for all plans in the Marketplace. Plans may offer additional coverage, like vision, dental or medical management programs for specific diseases. You’ll see exactly what each plan offers when you compare them side-by-side in the Marketplace.
Use the links below to learn about more important benefits and covered preventive services of Marketplace plans.