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Essential Health Benefits

A set of 10 health care services that all plans must cover. Some benefits are free. Some may have co-pays and co-insurance.

  1. Doctor visits and hospital stays
  2. Trips to the emergency room
  3. Care before and after your baby is born
  4. Mental health and substance use treatment services
  5. Prescription drugs
  6. Services and devices to help you recover if you get injured, or have a disability or chronic condition
  7. Lab tests
  8. Preventive services including counseling, screenings and vaccination
  9. Management of a chronic disease, like diabetes or asthma
  10. Pediatric care