Essential Health Benefits (EHB)
A list of services that health insurance plans on the individual and small group market must cover under the Affordable Care Act. EHBs include outpatient services, emergency services, hospitalization, pregnancy and childbirth, mental health services, prescription drugs, laboratory services, chronic disease management, pediatric services, and more.
Also known as the Health Insurance Marketplace, the Exchange is a service in every state (online, phone, and in-person) that helps people and businesses shop for and enroll in affordable insurance.
Exclusive Provider Organization (EPO)
A managed care plan where you can only use the doctors and hospitals within the EPO network. There are no out-of-network benefits (except in an emergency).
Explanation of Benefits
A statement sent by a health insurer detailing what medical treatments and/or services were paid for on behalf of the covered individual.