10 Essential Health Benefits
All Blue Cross and Blue Shield of Alabama Affordable Care Act (ACA) Health Plans include these benefits:
Ambulatory Patient Services
Care you receive without being admitted to a hospital — for example, at a clinic physician's office or same-day surgery center.
Care for conditions which, if not immediately treated, could lead to serious disability or death.
Care you receive as a patient in a hospital, such as room and board, care from doctors and nurses, and tests and drugs administered during your stay.
Maternity and Newborn Care
Care provided to women during pregnancy and during and after labor; care for newborn children.
Mental Health and Substance Abuse Disorder Services
Care to evaluate, diagnose and treat mental health and substance abuse issues.
Prescription Drug Coverage
Drugs prescribed by a doctor to treat an acute illness, like an infection, or ongoing condition, like high blood pressure.
Rehabilitative and Habilitative Services and Devices
Services and devices to help people with injuries, disabilities or chronic conditions gain or recover mental and physical skills.
Testing blood, tissues, etc. from a patient to help a doctor diagnose a medical condition and monitor the effectiveness of treatment.
Preventive and Wellness Services and Chronic Illness Management
Routine physicals, screenings, and immunizations. Chronic illness management is an integrated approach to manage an ongoing condition, like asthma or diabetes.
Pediatric Services, including Oral and Vision Care
Benefits for members up to the end of the month in which the member turns 19. All plans include benefits for pediatric eye exams, glasses, dental exams, cleanings, fluoride treatment, fillings and oral surgery.
Last Updated: 12/27/2018 17:42