5 Benefits Marketplace Health Plans Must Cover

Do you know that all the health plans available in the Marketplace cover the primary health benefits? According to insurance policies, essential health benefits are the basic requirements for every Marketplace plan.

Five Covered Essential Health Benefits

Every health insurance plan in the Marketplace must include the following benefits:

  • Ambulatory patient care (services received outside of a hospital, also known as outpatient care)
  • Services for disabled people
  • Inpatient care (such as surgeries & overnight stays)
  • Laboratories services
  • Prescription medications

Additional Health Benefits

  • Marketplace coverages may also provide additional benefits such as dental and vision care services.
  • Contact your insurance company and find out which services are covered in your health insurance plan.

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About the Author: Maya Rodriguez

Maya Rodriguez
I’m a writer and insurance researcher at InsuranceShopping.com, where I create guides and news to help U.S. consumers compare auto, home, health, life, and Medicare plans with confidence. I focus on breaking down complex policy changes,like new Medicare Advantage carriers or regional health insurance options,into clear, actionable advice. My background includes years of analyzing insurance markets and regulatory updates, which allows me to explain how these shifts affect your coverage and wallet. I’m here to give you the facts you need to make informed decisions, whether you’re shopping for your first policy or reviewing your current plan.