combsandco


Essential Benefits: What are they?
October 17, 2011, 12:45 pm
Filed under: National Healthcare

The essential benefits package will become the standard for health coverage and will be used as the basis for establishing the different benefit levels of plans that will be offered in the health insurance exchange. In addition, all new health plans that are sold to individuals will have to cover, at a minimum, all of the health care services in the essential benefits package. In 2014, all Small Group (1 to 100 Employees) will include these essential benefits as well. This will help ensure that every health plan provides the quality of coverage and financial protections necessary to safeguard families from the devastating financial effects of illness.

Right now, the Department of Health and Human Services (HHS) has come out with an estimation of what these benefits will be.  They are as follows:

  • Ambulatory Patient Care
  • Emergency Room Services
  • Hospitalization
  • Maternity & Newborn Coverage
  • Mental Health & Substance Abuse
  • Prescription Benefit
  • Rehab
  • Prevention & Wellness
  • Pediatrics Including Oral & Vision

There may be some more tweaks to this, but this is a solid estimation that you can pretty much take to the bank!


Leave a Comment so far
Leave a comment



Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s



%d bloggers like this: