Essential Benefits Under the Affordable Care Act
All ACA health insurance plans must include certain "essential benefits."
What do Obamacare health insurance plans cover?
Updated: 2020-07-13 by
All health plans purchased through Healthcare.gov, the health insurance marketplace for Iowa, must include the following benefits whether or not you have a pre-existing health condition.
These are known under the Affordable Care Act as “essential health benefits”:
- Ambulatory patient services (meaning outpatient care you receive without being admitted to a hospital)
- Emergency services
- Hospitalization (including surgery)
- Maternity and newborn care
- Mental health and substance use disorder services (including counseling and psychotherapy)
- Prescription drugs
- Rehabilitative and habilitative services and devices (for people with injuries, disabilities, or chronic conditions, to strengthen their mental and physical skills)
- Lab services
- Preventive and wellness services and chronic disease management
- Pediatric services (including oral and vision care)
Companies that offer plans through Healthcare.gov will compete on price and quality of service in delivering these benefits.