Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
Under the essential health benefits rules, which statement about pediatric services in individual and small-group health plans is correct?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Pediatric services — including limited pediatric dental and vision coverage — are among the ten categories of essential health benefits (EHBs) that individual and small-group plans must cover. This requirement is a specific exam point in the A&H objectives: limited pediatric dental and vision are mandatory, even though adult dental and vision generally remain optional.
Why the other options are wrong
- B) They are not optional: the law makes limited pediatric dental and vision mandatory parts of the EHB package.
- C) Both limited pediatric dental AND vision are required; neither may be carved out entirely.
- D) The pediatric EHB requirement is not limited to a specific age cut-off such as 6; it applies to covered dependents generally.
Memory hook
Kids' teeth and eyes are in the essentials; adults' are optional. Pediatrics gets a legislative free pass.