What are Essential Health Benefits?

ESSENTIAL HEALTH BENEFITS (EHBs)

EHB must include items and services within at least the following 10 categories:


1.    Ambulatory patient services, such as doctor visits
2.   Hospitalization
3.   Mental health and substance use disorder services, including behavioral health treatment
4.   Rehabilitative and habilitative services and devices
5.   Laboratory services
6.   Emergency services
7.   Maternity and newborn care
8.   Prescription drugs
9.   Preventive and wellness services and chronic disease management
10. Pediatric Services (pediatric oral care may be included, or in the Marketplace, offered as part of a stand-alone dental plan)