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Old 10-30-2013, 02:03 PM   #112
KC_Lee KC_Lee is offline
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Join Date: Sep 2006
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Quote:
Originally Posted by cosmo20002 View Post
Based on the info given, I can't tell why it doesn't qualify.
These are the "essential health benefits" a plan must have. There's probably some other criteria that must be met, but I don't recognize where anything comes up short in the info you listed. Probably just need to ask the insurance carrier if you really want to know the specific reason(s).

1.Ambulatory patient services
2.Emergency services
3.Hospitalization
4.Maternity and newborn care
5.Mental health and substance use disorder services, including behavioral health treatment
6.Prescription drugs
7.Rehabilitative and habilitative services and devices
8.Laboratory services
9.Preventive and wellness services and chronic disease management
10.Pediatric services, including oral and vision care
So if I have no intentions of having anymore children and the children I have are grown adults why would I need to have #4 & #10?
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