ESSENTIAL HEALTH BENEFITS
The Affordable Care Act ensures that all individual health plans offered to consumers, both on and off the Covered California exchange, include a comprehensive package known as essential health benefits. Every health plan must include coverage in these 10 categories at minimum.
Outpatient care—the kind you get without being admitted to a hospital
Trips to the emergency room
Treatment in the hospital for inpatient care
Care before and after your baby is born
Includes behavioral health treatment, counseling, and psychotherapy
Services and devices that help you recover from an injury or cope with a disability or chronic condition. These include physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
Lab testing services and diagnostic tests ordered by your doctor
Counseling, screenings and vaccines to keep you healthy and manage chronic conditions