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The essential health benefits are a minimum federal standard and "states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits." [ 1 ] : 3 The act gives "considerable discretion" to the Secretary of Health and Human Services to determine, through regulation, what specific services ...
Open enrollment for health care through the Health Insurance Marketplace on HealthCare.gov has begun. It runs through Jan. 15, 2025. ... 10 essential health benefits and free preventive screenings ...
The National Academy of Medicine defines the law's "essential health benefits" as "ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices ...
Insurers are prohibited from establishing annual spending caps of dollar amounts on essential health benefits. [39] All private health insurance plans offered in the Marketplace must offer the following essential health benefits: ambulatory care, emergency services, hospitalization (such as surgery), maternity and newborn care, mental health ...
For those earning under $22,590, there are $0 cost sharing for health services, and prescription cost-sharing from $1 to $3 depending on the drug, according to the Essential Plan website.
This Essential Health Care Program Could Get Hammered If Donald Trump Wins ... they say yields few benefits and disincentivizes low-income people from working — all at a massive, economy ...
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