What Benefits Are Covered?
| Most plans DO COVER | Most plans DO NOT COVER |
|---|---|
Most doctor visits and hospital stays 
Emergency services 
Prescription drugs 
Lab services 
Preventive and wellness care 
Chronic disease management 
Mental and substance use disorder services, including behavioral health treatment 
Rehabilitative and habilitative services, including some medical devices 
Pregnancy, maternity and newborn care |
|
All plans also offer preventive services at no charge. You won’t pay a copay or coinsurance for these services and you don’t need to meet your deductible before you use these services. Preventive services include:
- Adult physicals and blood pressure and cholesterol screenings
- Well-child care visits and immunizations
- OB/GYN visits
- X-rays and diagnostic tests
- Routine prenatal maternity visits
- Mammograms
- Prostate and colorectal screenings