What are essential health benefits?

These are the 10 key health services that must be covered by every health plan.  All health plans sold at New York State of Health must include them. Most plans sold elsewhere for individuals and small businesses must also include them. The 10 “essential” services are:

  1. Care at a doctor’s office
  2. Emergency services
  3. Hospital care
  4. Pregnant mother and baby care
  5. Mental health and addiction treatment
  6. Prescription drugs
  7. Rehab and skill development services and devices
  8. Lab services
  9. Prevention & wellness services and long-lasting disease management
  10. Dental and vision care for children


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