Essential Health Benefits

Essential Health Benefits (EHB) are a set of healthcare service categories that must be covered by certain health insurance plans, particularly those sold through the Health Insurance Marketplace under the Affordable Care Act (ACA). These benefits ensure that individuals have access to important medical services without facing excessive out-of-pocket costs. The categories include outpatient services, emergency care, hospitalization, maternity and newborn care, mental health services, prescriptions, rehabilitation, lab services, preventive care, and pediatric services. EHBs aim to provide comprehensive healthcare access, promoting overall well-being and mitigating financial barriers to necessary treatments.