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

Study for the Medical Insurance Test with our comprehensive materials. Use flashcards and multiple-choice questions, each with hints and explanations, to get ready for your exam!

Cosmetic surgery is not considered an essential health benefit under the Affordable Care Act (ACA). The ACA outlines ten essential health benefits that health insurers must cover in their individual and small group plans, including services that are vital for ensuring comprehensive health care coverage. These essential benefits include maternity care, emergency services, and mental health services, all of which address significant health needs and are fundamental to maintaining physical and mental well-being.

In contrast, cosmetic surgery typically falls under elective procedures that are not medically necessary and are often excluded from standard health insurance coverage. Insurers do not generally consider cosmetic alterations as essential for health improvement or management, which is why they do not fall under the mandated essential health benefits defined by the ACA. This distinction is important for patients to understand when selecting health plans or considering coverage options.

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