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See what Marketplace health insurance covers


published to October 11, 2018

All Marketplace plans cover the same set of basic health benefits, preventive care, and pre-existing conditions.Start-up November 1st You can continue to access these benefits by enrolling or renewing your 2019 plan.

What are the essential health benefits?

  • Essential Health Benefits Health insurance is a set of 10 service categories, including doctor visits, inpatient and outpatient care, prescription drugs, pregnancy and maternity, mental health, etc., that must be covered by your health insurance plan.
  • The plan should also provide contraception and breastfeeding coverage.
  • These are the minimum requirements for all Marketplace plans. Some plans may offer more benefits. Compare plans to see exactly what’s covered.

What is preventive care?

  • Most health insurance should cover a set of preventive services — like immunizations and screening tests — are free.
  • Preventive services are used to prevent illness, disease, and other health problems, or to detect illness in its early stages when treatment is likely to be most effective.
  • These services are free only when provided by a doctor or other provider within the plan’s network.

What is the coverage for existing conditions?

  • All Marketplace Plans must cover the following treatments: pre-existing medical conditionsasthma, diabetes, cancer, etc.
  • Marketplace plans cannot deny coverage or increase rates based solely on health conditions.
  • pregnancy You are also covered from the start date of your plan.



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