What health benefits are covered under Marketplace plans?

All qualified health plans offered in the Marketplace will cover essential health benefits. Categories of essential health benefits include:

Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Emergency services
Hospitalization
Maternity and newborn care (care before and after your baby is born)
Mental health and substance use disorder services, including behavioral health treatment
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 dental and vision care

The precise details of what is covered within these categories may vary somewhat from plan to plan.

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