What is an essential health benefits package?

An essential health benefits package is a set of health care services that must be offered by all health insurance plans in the state of Washington. These services include things like preventive services (such as annual physicals and immunizations), emergency services (such as ambulance services and emergency room visits), hospitalization (such as inpatient care and surgery), mental health and substance abuse services (including counseling and therapy), and prescription drugs. The essential health benefits package also includes services such as habilitative services (such as occupational therapy or physical therapy), pediatric services (such as vision and dental care), and other services (such as birth control). All health insurance plans in Washington must offer this set of services. This is important because it ensures that all individuals are able to get the health care they need, regardless of what insurance plan they have. Additionally, the requirement that all plans offer the same services helps to keep costs more affordable for consumers.

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What is an essential health benefits package?

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