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Blog Articles: See What's covered by Marketplace health insurance.


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Did you know that all Marketplace plans cover the same set of essential health benefits, preventive care, and pre-existing conditions? Starting November 1st we can enroll you in or renew your plan for 2019, so give WFL a call!


What are essential health benefits?

  • Essential health benefits are a set of 10 categories of services — including doctor's visits, inpatient and outpatient hospital care, prescription drugs, pregnancy and childbirth, mental health, and more — that health insurance plans must cover.
  • Plans must also offer birth control and breastfeeding coverage.
  • These are the minimum requirements for all Marketplace plans. Plans may offer more benefits. You’ll see exactly what’s covered when you compare plans.

What’s preventive care?

  • Most health plans must cover a set of preventive services — like shots and screening tests — at no cost to you.
  • Preventive services are used to prevent illnesses, disease, and other health problems, or to detect illness at an early stage when treatment is likely to work best.
  • These services are free only when delivered by a doctor or other provider in your plan’s network.

What’s coverage for pre-existing conditions?

  • All Marketplace plans must cover treatment for pre-existing medical conditions, like asthma, diabetes, or cancer.
  • Marketplace plans can’t deny you coverage or raise your rates based only on your health.
  • Pregnancy is also covered from the day your plan starts.
Original Source https://www.healthcare.gov/blog/2019-benefits-services-marketplace-plans-cover/

2018-10-19 11:48:15