What Are Essential Health Benefits and Who Has To Have Them?

Nevada Insurance Enrollment Explains What Your Qualified Health Plan Covers

LAS VEGAS - nvtip -- What are "Essential Health Benefits" and who has to have them?  From 1/1/2014 on, all new health insurance plans (insured small group and individual health insurance plans) must cover the 10 bulleted benefits below, in order to avoid a tax penalty.

Qualified Health Plans MUST cover these 10 items without any lifetime or annual limits on these "Essential Health Benefits." There are exceptions to those that have to buy these plans. Those folks that have a State or Federal plan (Medicare, Medicaid, VA, Tricare, CHIP etc.) or are a part of an Employer Group that provides benefits or are "Grandfathered" or that the insurance is"unaffordable" won't need to buy.

All the rest of us, unless we are "Exempt" our plan must cover these benefits to be the correct kind of insurance to avoid paying the tax penalty, or until our insurance company tells us our current policy we have now (only if it's a major medical policy) renews and we must buy a "Qualified Health Plan" that has the following benefits:

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♦ Ambulatory patient services  (clinics, doctors office, same-day surgery centers, etc.)

♦ Emergency services

♦ Hospitalization

♦ Maternity and newborn care

♦ Mental health and substance use disorder services, including behavioral health treatment

♦ Prescription drugs

♦ Rehabilitative and habilitative services and devices

♦ Laboratory services

♦ Preventive and wellness services and chronic disease management

♦ Pediatric services, including dental and vision care (see below)

Read the full article: https://www.nevadainsuranceenrollment.com/what-are-essential-health-benefits-and-who-has-to-have-them/

Learn more: https://www.nevadainsuranceenrollment.com/individual-family-health-insurance/

Nevada Insurance Enrollment
4260 W. Craig Road suite #150-A
North Las Vegas, NV 89032
(702) 898-0554
Website: NevadaInsuranceEnrollment.com

Nevada Insurance Enrollment
Shelly Rogers

Source: Nevada Insurance Enrollment
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