Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Which of the following is NOT among the essential health benefit (EHB) categories that Qualified Health Plans must cover?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
The ACA defines ten essential health benefit categories, including ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative and habilitative services, laboratory services, preventive and wellness services, and pediatric services (including pediatric dental and vision). Adult dental and vision are not EHB categories; only the pediatric versions are mandatory.
Why the other options are wrong
- B) Maternity and newborn care is one of the ten enumerated EHB categories.
- C) Mental health and substance use disorder services, including behavioral health treatment, is an EHB category.
- D) Prescription drugs is an explicitly enumerated EHB category alongside emergency services and hospitalization, so it is covered under Qualified Health Plans.
Memory hook
Ten EHB baskets, and adults' teeth and eyes are not in any of them. Kids' care is; adults' is optional.