Dental and Vision Coverage
Supplemental or embedded coverage for dental and vision services, pediatric dental and vision being essential health benefits in ACA plans.
Drill all 803 terms as flip-card flashcards in the Exam Engine →
Practice This Concept
Under the essential health benefits framework, which statement about adult dental and vision coverage is correct?
Coverage for adult dental and vision services is optional and is not a required essential health benefit for adults. — The ten essential health benefits include pediatric dental and vision care, which must be provided to children, but adult dental and vision coverage is not mandated. Insurers may offer adult dental and vision as optional, separately priced benefits, frequently through stand-alone policies or riders. This optional-versus-mandatory distinction is the exact exam point tested under optional coverages in the individual medical expense section of the A&H outline. A broker should explain that a consumer who wants adult dental or vision benefits must usually purchase them separately, because the qualified health plan's essential benefits stop at the pediatric requirement.
National insurance concept
Practice all medical expense questions →