Which of the following is not an essential health benefit category under the Affordable Care Act?
Asked by: Tanya Harber V | Last update: May 22, 2025Score: 4.2/5 (2 votes)
What is not considered an essential health benefit under the Affordable Care Act?
Pursuant to 45 CFR 156.115(d), the following benefits are excluded from EHB even though an EHB-benchmark plan may cover them: routine non-pediatric dental services (for plan years beginning on or before January 1, 2026), routine non-pediatric dental services, routine non-pediatric eye exam services, long-term/custodial ...
What are the 10 essential health benefits under the Affordable Care Act?
- Ambulatory patient services (outpatient services)
- Emergency services.
- Hospitalization.
- Maternity and newborn care.
- Mental health and substance use disorder services, including behavioral health treatment.
- Prescription drugs.
What is not included in the Affordable Care Act?
What Benefits Does the Affordable Care Act Not Cover? The Affordable Care Act does leave two forms of insurance for adults out of its provisions — vision insurance and dental coverage. Although both of these services are considered essential benefits for children under the ACA, they are not included for adults.
Which of the following is not required under the Affordable Care Act?
Final answer: Under the Affordable Care Act, mandated coverage for elective cosmetic procedures is not a requirement.
How to Qualify for ACA Health Insurance Subsidies as an Early Retiree
How many categories are in the Affordable Care Act?
Marketplace plans are put into 4 categories (or "metal levels"): Bronze, Silver, Gold, and Platinum. Catastrophic plans are a 5th category available to people under 30 and some people with limited incomes. The categories have nothing to do with the quality of care you get in a plan.
Which of the following is not a form of minimum essential coverage?
So the list of plans that are not considered minimum essential coverage includes short-term health insurance, medical discount plans, limited-benefit plans, critical illness insurance, accident supplements, travel medical insurance, and dental/vision plans.
What is required under the Affordable Care Act?
A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.
Who does not support the Affordable Care Act?
The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.
What are the three main components of the Affordable Care Act?
- Make affordable health insurance available to more people. ...
- Expand Medicaid to cover all adults with income below 138% of the FPL. ...
- Support innovative medical care delivery methods designed to lower the costs of health care generally.
What are non-essential health benefits?
Examples of non-essential benefits might include: Chiropractic muscle manipulation. Diabetes management education. Orthotics.
Which of the following is not one of the 10 essential health benefits?
Dental services are not included in the list of essential health benefits.
What are health benefits?
Health benefit or health benefits may refer to: Health benefits (insurance), a payment received through a health insurance. Health benefit (medicine), the phenomenon that a food, substance or activity is improving health. Health claim, a usually unproven claim as to medical health benefits of food, etc.
What are the 10 essential health benefits under the ACA?
- Hospitalization.
- Ambulatory services (visits to doctors and other healthcare professionals and outpatient hospital care)
- Emergency services.
- Maternity and newborn care.
- Mental health and substance abuse treatment.
- Prescription drugs (including brand-name drugs and specialty drugs)
What is not covered under a health benefit plan?
Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.
Which of the following is not included under a health plan benefit?
Final answer: None of the options provided, which are a major medical policy, basic hospital policy, hospital indemnity plan, and surgical expense policy, are excluded from a health benefits plan.
What is considered affordable under the Affordable Care Act?
In 2025, a job-based health plan is considered "affordable" if your share of the monthly premium in the lowest-cost plan offered by the employer is less than 9.02% of your household income.
What is prohibited by Affordable Care Act?
Section 1557 makes it unlawful for any health care provider who receives funding from the federal government to refuse to treat an individual—or to otherwise discriminate against the individual—based on race, color, national origin, sex, age or disability.
Who is not eligible for Obamacare?
Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.
What are the benefits of the Affordable health Care Act?
Among other things, the ACA made it easier for many people to get coverage, removed annual and lifetime limits on essential health benefits and put in place requirements that individuals have medical coverage or pay a tax penalty.
Which is not one of the three primary goals of the Affordable Care Act?
Therefore, the correct answer to which of the following is not a goal of the ACA is increasing the rates for those insured already, as the ACA aims to make healthcare more accessible and affordable, not to increase the rates for those who are already insured.
Which of the following is not a consumer protection component of the Affordable Care Act (ACA)?
Final answer: The correct answer is C. Lifetime and annual limits is not a consumer protection component of the Affordable Care Act (ACA).
Which of the following is not an essential element of an insurance contract quizlet?
Which of the following is NOT an essential element of an insurance contract? In order for insurance contracts to be legally binding, they must have four essential elements: agreement (offer and acceptance), consideration, competent parties, and legal purpose. Counteroffer is not required.
Which of the following is not considered a form of health insurance?
Disability insurance is not usually considered a form of health insurance, and it doesn't cover the costs associated with rehabilitation following an injury or illness. Often, these costs are covered under the major medical part of your health insurance plan.
What are the three types of coverage forms?
Basic, Broad, and Special form are three common coverage forms when insuring property. Basic form is the most restrictive, while Special offers the greater level of protection.