Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
Under the essential health benefits (EHB) rules, adult dental and vision coverage is generally:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Under the essential health benefits rules, it is only limited pediatric dental and vision coverage that is mandated as part of the EHB package. Adult dental and vision benefits are not mandatory: a carrier may offer them, often as optional riders or add-on products, but no qualified health plan is required to include them for adults. The mandatory-versus-optional split between pediatric and adult dental/vision is a specific A&H exam point. The exam tests this pediatric-versus-adult split directly, so the distinction matters.
Why the other options are wrong
- B) The mandatory requirement covers limited pediatric dental and vision for children; adult dental and vision are not required to be included. Pediatric dental and vision are the only mandated items.
- C) Adult dental and vision benefits may be offered as optional coverage; nothing in the rules prohibits a plan from including them. Including them for adults is always permitted, never prohibited.
- D) There is no age-based mandate for adult dental or vision coverage; the requirement turns on pediatric status, not a specific adult age. The mandate is keyed to childhood, not to a senior age.
Memory hook
Kids' teeth and eyes are mandated; adults' are menu items. Pediatric is in the essentials, adult is the optional extra.