5 benefits Marketplace plans must cover

Did you know that all plans offered in the Marketplace cover the same set of essential health benefits? Essential health benefits are minimum requirements for all Marketplace plans.

Image: {Blue #5 and text}

5 covered essential health benefits

Every Marketplace health plan must cover:

  • Ambulatory patient services (outpatient care, or care you get without being admitted to a hospital)
  • Emergency services
  • Hospitalization (like surgery and overnight stays)
  • Prescription drugs
  • Laboratory services

Read the full list of covered essential health benefits.

Additional benefits

  • Plans may offer additional benefits, including vision and dental coverage.
  • To find out if a particular service is covered, call your insurance company.