What Benefits Are Covered?

Plan Table
Most plans DO COVER Most plans DO NOT COVER
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Most doctor visits and hospital stays


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Emergency services


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Prescription drugs


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Lab services


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Preventive and wellness care


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Chronic disease management


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Mental and substance use disorder services, including behavioral health treatment


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Rehabilitative and habilitative services, including some medical devices


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Pregnancy, maternity and newborn care


  • Adult dental services
  • Cosmetic surgery
  • Beauty treatments
  • Alternative therapies
  • Travel vaccines

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