Ten Essential Health Benefits Are Included in Every Plan
Nov 19, 2025, 12:28 PM
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The content below has been provided by Access Health CT and has no editorial input from News 12 Connecticut.
All health plans offered through Access Health CT provide coverage for ten Essential Health Benefits. This means our coverage options include preventive services, emergency room visits, hospitalization, prescription drugs, mental health services and more. These services are essential for ensuring you get the care you need when you need it.Preventive services include annual checkups, health screenings for cancer, heart disease, diabetes and other conditions, vaccines and more. They’re important because they can detect an illness or disease in its early stage and help prevent it from becoming more serious.You can use preventive services without having to pay your deductible, and they require no copayment. So, use your preventive services. They’ll help you save your money and your health.
Ten Essential Health Benefits
There are ten Essential Health Benefits included in the health plans offered through Access Health CT. All health plans cover:
Outpatient care
Emergency room visits
Hospitalization
Maternity and newborn care
Mental health and substance abuse services
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care
Plus, some health plans offer additional benefits like adult vision coverage and more.
Dental Coverage
All health plans offered through Access Health CT include pediatric dental coverage for anyone under 26 years old, and some plans include limited dental benefits for adults. You can also get dental coverage through Access Health CT via a Stand-Alone Dental Plan. You can enroll in both health and dental coverage, or you can enroll in just one or the other.
How do I know what’s covered in my health plan?
Always review your coverage documents or check with your insurance company to fully understand your Essential Health Benefits, their costs and any additional coverage you may have. Complete coverage documents are available on our website for every plan. This makes it convenient for you to compare before enrolling. Once enrolled, you can reference these documents anytime within your Consumer Account. For more on comparing health plans, click here.If you need help figuring any of this out, we’re here to help you for free — in person, online and over the phone.Watch our video about Essential Health Benefits and the care you can get without paying your deductible.
