All private health plans offered in the Marketplace must cover these 10 essential health benefits regardless of the plan category and type. (Note: These are the minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state's requirements.)
Covered essential health benefits
Ambulatory patient services
Pregnancy, maternity, and newborn care (pre and post birth)
Mental health and substance use disorder services
Rehabilitative and habilitative services and devices
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care
Other services may be available to you
Marketplace plans include breastfeeding and birth control coverage.
Your plan may also offer dental and vision coverage and medical management programs (for specific needs like weight management, back pain, and diabetes).