About Insuring Your Health

KHN contributing columnist Michelle Andrews writes the series聽, which explores health care coverage and costs.
To contact Michelle with a question or comment,聽.
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Q: Is there is basic package of benefits that each insurance company must offer if it is part of a marketplace?
A: To ensure that plans sold on the state-based marketplaces provide comprehensive coverage, every plan must cover 10 so-called essential health benefits. The required benefits include prescription drugs, emergency and hospital care, doctor visits, maternity and mental health services, rehabilitation and lab services, among others. In addition, recommended preventive services must be covered without any out-of-pocket costs to consumers.
If states have additional mandated benefits, for infertility treatment or autism, for example, those services will also generally be included in the plans offered through the state marketplaces.聽
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