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Carefirst explains what is covered under ACA


The law requires that all plans cover these Essential Health Benefits:

  • Ambulatory patient services
  • Maternity & newborn care
  • Prescription drugs
  • Laboratory services
  • Preventive/wellness care
  • Pediatric dental & vision care
  • Emergency services
  • Hospitalization
  • Mental health/substance abuse services
  • Rehabilitative/habilitative services & devices

All plans also must offer preventive services at no charge. You won’t pay a copay or co-insurance for these services and you don’t have to meet your deductible before you use these no-charge services, including:

  • Adult physicals and blood pressure/cholesterol screenings
  • Well-child care visits and immunizations
  • OB/GYN visits
  • X-rays and diagnostic/lab tests
  • Cancer screenings such as mammograms, pap tests, prostate and colorectal screenings
  • Routine pre-natal maternity visits