Under the ACA, essential health benefits must include which of the following?

Study for the Vermont Life, Accident and Health Insurance Exam. Prepare with flashcards and multiple choice questions, each with hints and explanations. Achieve success in your exam!

Under the Affordable Care Act (ACA), essential health benefits are a set of health care service categories that must be covered by certain plans, including those offered on state and federal health insurance exchanges. One of these categories is chronic disease management. This involves the assessment and coordination of care for individuals with long-term health conditions to improve their quality of life and health outcomes.

Chronic disease management is essential because it helps patients effectively manage conditions such as diabetes, hypertension, and asthma, which can have significant impacts on their health if not properly addressed. By including chronic disease management as an essential health benefit, the ACA aims to ensure that individuals receive the necessary support and resources to manage their health conditions, ultimately reducing healthcare costs and improving overall public health.

Other options like cosmetic surgery, luxury health amenities, and comprehensive dental exams do not fall under the essential health benefits required by the ACA. Cosmetic surgery is typically considered elective and not medically necessary, luxury health amenities do not pertain to essential care, and while dental care is important, comprehensive dental services are not included as essential benefits under all health plans without additional provisions.

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