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Medical Plans Available In a SHOP

All medical plans offered in a SHOP Marketplace must be Qualified Health Plans (QHPs.)

Plans must be certified by a SHOP Marketplace

EHB's must offer:

  • Ambulatory patient services, such as doctor's visits and outpatient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance abuse disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care

Next Topic: Elimination of Pre-existing Condition Exclusions

If you are an agent see Insurance Agents and Obamacare.


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*ExploreObamacare.com is not affiliated with any government agency. All information provided is for informational purposes only and no guarantee of the accuracy is hereby implied. The information was the product of researching the Affordable Care Act Bill and is subject to change.
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