Which benefits are included in the Essential Health Benefits package under the ACA?

• A. Ambulatory patient services, emergency services, hospitalization, maternity & newborn care, mental health services, prescription drugs, lab services, pediatric services, preventive and wellness services, rehabilitative and habilitative services
• B. Hospital, emergency, and physician visits
• C. Prescription drugs and lab services only
• D. Vision and dental only

Answer: (A)

Essential Health Benefits under the ACA create a broad baseline of coverage for plans sold in the individual and small group markets. These benefits are organized into ten categories that a typical non-grandfathered plan must cover: ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management, and pediatric services, including oral and vision care.

This option matches all ten categories, making it the best choice because it reflects the full scope of required benefits. Other options are too narrow, focusing only on a subset like hospital, emergency, and physician visits, or listing drugs and labs alone, or treating vision and dental as standalone categories rather than part of pediatric care.