"Essential Health Benefits" Explained

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General Education

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The video discusses the requirement, since 2014, for individual and small-group health insurance plans to cover ten "essential health benefits":

  • Since 2014, individual and small-group health insurance plans must include ten essential health benefits.

  • These benefits cover a broad range of services, including emergency and hospital care, mental health treatment, and preventive services.

  • The specific coverage details within each of the ten categories differ from state to state.

  • States have the authority to define the exact coverage under each essential health benefit category.