When you enroll in an  ACA-compliant health plan—such as coverage through the Marketplace (or a state based exchange such as Georgia Access) or an employer-sponsored plan—you’re guaranteed coverage for something called the 10 Essential Health Benefits.

These are services and types of care that every ACA-compliant plan is required by law to cover—no matter your age, gender, health status, or metal tier (Bronze, Silver, etc.).

🩺 The 10 Essential Health Benefits:

1. Outpatient Care (Ambulatory Services)
   Doctor visits, outpatient surgeries, and other care you don’t need to stay overnight for.

2. Emergency Services
   ER visits and urgent care for serious injuries or health concerns.

3. Hospitalization
   Coverage for inpatient care like surgeries, overnight stays, and hospital treatments.

4. Maternity and Newborn Care
   From prenatal checkups to delivery and newborn care—it's all covered.

5. Mental Health and Substance Use Disorder Services
   Includes counseling, therapy, inpatient treatment, and more.

6. Prescription Drugs
   A wide range of medications, from generics to specialty drugs, are included.

7. Rehabilitative and Habilitative Services and Devices
   Helps you recover or gain skills from injury, disability, or chronic conditions.

8. Laboratory Services
   Diagnostic tests, bloodwork, screenings—it's all part of your plan.

9. Preventive and Wellness Services & Chronic Disease Management
   Routine checkups, vaccines, screenings, and management of long-term conditions.

10. Pediatric Services (including dental and vision)
    For kids under 19, plans include dental cleanings, vision screenings, and more.