Which of the following is NOT considered an essential health benefit under ACA?

Preparing for the CII Certificate in Insurance - Healthcare Insurance (IF7)? Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Under the Affordable Care Act (ACA), essential health benefits are a set of healthcare service categories that must be covered by certain types of health insurance plans. These essential benefits include various key areas of care that ensure comprehensive coverage for individuals.

Maternity care, preventive services, and emergency services are all classified as essential health benefits because they address fundamental healthcare needs. Maternity care ensures that pregnant individuals receive the necessary medical support before, during, and after childbirth. Preventive services, such as vaccinations and screenings, play a crucial role in maintaining health and preventing illness. Emergency services are vital for immediate medical care in urgent situations, protecting patients from long-term health complications.

In contrast, cosmetic surgeries are generally not covered under the essential health benefits defined in the ACA. These procedures are usually elective and serve aesthetic purposes rather than addressing a medical necessity. As a result, they do not fall within the mandated coverage requirements established by the ACA, making them the correct answer in identifying what is not considered an essential health benefit.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy