The Patient Protection and Affordable Care Act (PPACA) Essential Health Benefits


Essential Health Benefits

Summary

The Act defines certain categories of benefits as “Essential Health Benefits.” The categories of essential health benefits are:

  • 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

For More Information (UnitedHealth links)

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