Researchers find significant state variation in the essential health benefit packages (EHBs) that insurance companies are required to cover if they offer plans in the marketplaces created by the Affordable Care Act (ACA).
The Issue
This study illustrates that outside of the 10 ACA-mandated service categories, where patients live determines whether they’ll have coverage for the care they need.
The majority of data used in this study was collected from the CMS Revised Benchmark Benefits Worksheet published May 22, 2014. This data set contained a collection of state-specific worksheets detailing essential health benefits, state required benefits, quantitative limits on benefits and other general coverage information for all 50 states and the District of Columbia.