What is an essential health benefits package?

An essential health benefits package is a package of health insurance benefits that must be included in health insurance plans in Hawaii. This package was created to ensure access to basic health care services. Essential health benefits packages vary by state but in Hawaii they include coverage for preventive and wellness services, chronic disease management, mental health and substance use disorder services, and hospitalization. Additionally, these packages ensure that health insurance plans cover the following: ambulatory patient services, emergency services, hospitalization, maternity and newborn care, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services, and pediatric services including oral and vision care. Essential health benefits packages are designed to make sure everyone in Hawaii has access to core health care services, regardless of their health care needs or financial situation. Hawaii residents can rely on their health insurance plans to provide a basic level of care that meets their needs, regardless of their income level. The essential health benefits package also helps ensure that insurance companies in Hawaii provide the same level of care to all their customers.

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