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  2. Essential health benefits - Wikipedia

    en.wikipedia.org/wiki/Essential_health_benefits

    The essential health benefits are a minimum federal standard and "states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits." [ 1 ] : 3 The act gives "considerable discretion" to the Secretary of Health and Human Services to determine, through regulation, what specific services ...

  3. Essential Plan health insurance plan expansion could save NY ...

    www.aol.com/essential-plan-health-insurance-plan...

    Raising the income eligibility will expand Essential Plan access to 100,000 additional New Yorkers, Hochul added, noting that could help some New Yorkers who lost coverage through Medicaid due to ...

  4. Health insurance marketplace - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_marketplace

    All private health insurance plans offered in the Marketplace must offer the following essential health benefits: ambulatory care, emergency services, hospitalization (such as surgery), maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative and habilitative services (services to help people ...

  5. Federally Facilitated Marketplace - Wikipedia

    en.wikipedia.org/wiki/Federally_Facilitated...

    The following 3 states are Partnership Marketplaces. In Partnership Marketplaces, states retain certain essential functionality for operating an insurance marketplace. Arkansas; Georgia; Oregon; State-Based Marketplaces (SBM) Manage Marketplace functions, but rely on Healthcare.gov platform to manage their eligibility and enrollment functions.

  6. Eligibility Requirements for Medicare’s Chronic Condition ...

    www.aol.com/eligibility-requirements-medicare...

    C-SNP plan name. Monthly plan premium. Part B premium. Drug cost/ deductible. Copays/ Coinsurance. Maximum yearly cost. Select Health Medicare Essential (HMO) $0. $174.70. $0 / $0. primary doctor ...

  7. Mandatory spending - Wikipedia

    en.wikipedia.org/wiki/Mandatory_spending

    Other attempts such as the Balanced Budget Act of 1997 have only been temporarily or partially successful in slowing down the rate of increased health care spending. In 2010,the passage of the Affordable Care Act established a mandate for most US residents to obtain health insurance, set up insurance exchanges, and expand Medicaid. Mandatory ...

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