The U.S. Department of Health & Human Services released a final rule outlining the specific essential health benefits that insurers must cover regardless of whether they're selling plans through health insurance exchanges.
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The law ensures that health plans offer a core package of items and services, known as “essential health benefits (EHB).” Under the statute, EHB must include items and services within at least the following 10 categories:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care
- read the HHS statement and fact sheet
- here's the final rule (.pdf)
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