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See what essential health benefits are covered by Marketplace insurance


Published on July 12, 2018

Did you know that all plans offered in the Marketplace cover the same set of

? Essential health benefits are minimum requirements for all Marketplace plans.

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.



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