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Essential health benefits

All Get Covered Illinois plans must include essential health benefits as required by the Affordable Care Act. Some plans offer extra benefits.

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Essential health benefits

Children's services, including dental and vision care
Emergency services (even at out-of-network hospitals)
Hospital stays and surgery
Laboratory services
Mental health and substance use disorder services
Outpatient services
Pregnancy, maternity and newborn care
Prescription drugs
Preventive and wellness services and chronic disease management
Rehabilitative and habilitative services and devices

Illinois also requires coverage for:

Alternative therapies for chronic pain
Easier access to treatment for opioid use disorders
Telehealth for mental health services

Some plans include:

Adult dental and vision care
Birth control and breastfeeding support

Mental health parity

Mental health parity means your health insurance must cover mental health and substance use disorder treatments the same as medical and surgical treatments. That means you are covered if you need surgery for a broken arm or treatment for depression.

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