Essential Health Benefits

What benefits make up your new comprehensive health plan?

All health plans offered on the Washington Health Benefit Exchange include certain items and services. These categories of services are called Essential Health Benefits.

Every Ambetter insurance plan offers all of your Essential Health Benefits:


Essential health benefits: Emergency services, outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, laboratory services, prescription drugs, therapy services (such as physical therapy) and devices, and hospitalization

What are preventive services and how do I know which ones are covered?

Preventive care services help you stay well and catch problems before they start. All insurance plans offered on the Washington Health Benefit Exchange must cover certain preventive services when you use an in-network provider to receive them. View Preventive Services covered under the Affordable Care Act.

Some information contained on this page was gathered from https://www.healthcare.gov/.