Essential Benefits are benefits that ALL plans in the Health Insurance Marketplace must cover as well as employer-sponsored group health plans. They include:
- Doctor visits
- Outpatient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance abuse disorder services
- Prescription drug coverage, (8)rehabilitative services and devices
- Laboratory services
- Preventive and wellness services
- Chronic disease management
- Pediatric services, including oral and vision care
