Expanded coverage

All plans sold through the Marketplaces are qualified health plans offering 10 kinds of benefits, called essential health benefits. These include doctor visits and hospital care, prescription drugs, lab tests, maternity care and more. Qualifying plans sold outside the Marketplaces also include these benefits.

To meet standards set by health reform, plans must include certain preventive care services with no cost sharing. This includes coverage for services such as health screenings and immunizations, and special preventive care for women including pre-natal office visits, breast-feeding supplies, and mammograms.