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Frequently Asked Questions Insurance

What benefits are covered in plans sold in the DC Health Link?

All DC Health Link plans must cover a comprehensive package of "essential health benefits" (EHB).  DC Health Link’s benefits are based on those covered in the most popular small group health insurance policy currently sold in the District market.  The benefits cover:

  • Doctor visits
  • Hospital stays
  • Emergency room care
  • Maternity and newborn care
  • Prescription drugs
  • Lab tests
  • Preventive tests and services
  • Rehabilitative and habilitative services and devices
  • Chronic disease management
  • Mental health care
  • Substance use disorder services
  • Dental care for children
  • Vision care for children

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