The ten categories of essential health benefits (EHB) include all of the following EXCEPT...
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
The ten essential health benefit categories are: 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 chronic disease management; and pediatric services, including oral and vision care. Long-term custodial nursing home care is not among them — it is the province of long-term care insurance. All qualified health plans must cover the EHB categories, so knowing which services are in and out of the basket is a standard definitional question in the PPACA section of the A&H outline.
Why the other options are wrong
- B) Ambulatory patient services are the first EHB category.
- C) Prescription drugs are a mandated EHB category.
- D) Maternity and newborn care is an EHB category.
Memory hook
Ten EHB baskets cover care — and long-term custodial care is not in any.