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Essential Health Benefits (EHB)

The Affordable Care Act requires that health plans on the individual and small group market, including all plans sold on the exchanges, contain a package of items and services. Required care services include: emergency services, ambulatory patient services, maternity care, pediatric care, mental health care, laboratory services, prescription drugs, and others.

Actuarial Equivalent

A health benefit plan offering similar coverage to the standard benefit plan. The similar plan does not necessarily include the same premiums, cost sharing requirements…