New Consumer Benefits Under the Affordable Care Act 2025

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Pros More Americans have health insurance. Health insurance is more affordable for many people. People with preexisting health conditions can no longer be denied coverage. No time limits exist on care. More screenings are covered. Prescription drugs cost less.
10 Essential Health Benefits Insurance Plans Must Cover Under the Affordable Care Act Ambulatory patient services (outpatient services) Emergency services. Hospitalization. Maternity and newborn care. Mental health and substance use disorder services, including behavioral health treatment. Prescription drugs.
The Affordable Care Act requires non-grandfathered health insurance coverage in the individual and small group markets to cover essential health benefits (EHB), which include items and services in at least the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization
Plans that qualify as minimum essential coverage include employer-sponsored plans (including skinny employer-sponsored plans that dont provide minimum value), individual major medical plans (including new ACA-compliant plans, grandfathered plans, and grandmothered plans), TRICARE, Medicare, most Medicaid plans, and
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