All plans offered in the Marketplace cover the same set of essential health benefits . Every health plan must cover the following services: Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services Hospitalization (like surgery and overnight stays) Pregnancy, maternity, and newborn care (both before and after birth) Mental health and substance use disorder services , including behavioral health treatment (this includes counseling and psychotherapy) Prescription drugs Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills) Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits) Additional benefits Plans must also include the following be
Formerly Family Voices IN/About Special Kids. We provide answers and resources to families and professionals who are involved in the upbringing of children with complex medical conditions, mental health diagnoses and physical/intellectual disabilities.