Marketplace Health Benefits and Coverage: What You Need to Know

All Marketplace plans cover a range of 10 essential health benefits, such as emergency care, ambulatory patient services, and pregnancy, newborn, and maternity care.

See the complete list of essential health care benefits that are covered. The specific services covered might vary, depending on your state’s requirements. Some coverage plans may provide dental, vision, or medical management services. When you compare plans, you’ll learn what each program offers.

Also provide: preventive services and coverage for pre-existing medical conditions.

i) Marketplace insurance covers a range of preventive care services such as screening tests and shots without any out-of-pocket expenses when delivered by doctors in your plan’s network.

ii) No health plans can deny you coverage, charge you more, or avoid paying for essential health benefits if you had a medical condition before the start of your coverage, including pregnancy.

Learn more about the coverage provided by Marketplace health insurance and get started on a new health 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.