What kinds of treatment do the health plans listed on Stride cover?

All health plans offered through the Marketplace must include the same 10 Essential Health Benefits, as required by the Affordable Care Act (ACA). That means whichever plan you choose, you’ll have coverage for these important services.

🩺 The 10 Essential Health Benefits:

1. Ambulatory (Outpatient) Services
   Care you receive without being admitted to a hospital, such as visits with your primary care doctor or specialists.

2. Emergency Services
   Care for life-threatening conditions that need immediate attention.

3. Hospitalization
   Includes surgery, overnight hospital stays, and other inpatient care.

4. Pregnancy, Maternity, and Newborn Care
   Care before and after birth, including delivery and newborn checkups.

5. Mental Health & Substance Use Services
   Includes counseling, behavioral health treatment, and services for substance use disorders.

6. Prescription Drugs
   Medications prescribed by your healthcare provider.

7. Rehabilitative & Habilitative Services and Devices
   Support to help you recover or improve skills affected by an injury, disability, or chronic condition.

8. Laboratory Services
   Includes diagnostic tests, such as blood work and imaging.

9. Preventive & Wellness Services, and Chronic Disease Management
   Includes screenings, immunizations, and care to help prevent or manage conditions such as diabetes.

10. Pediatric Services (including dental and vision)
    Coverage for children’s dental and vision care.

Note: Adult dental and vision coverage are not included as essential benefits.

🔒 All Stride Plans Are ACA-Compliant

Every plan on Stride’s platform is ACA-compliant, which means it includes all 10 Essential Health Benefits listed above.

🤱 Birth Control & Breastfeeding Support

Looking for information about birth control?
➡️ Check out this helpful guide: Is birth control covered? Is it free?

Under the ACA, most plans also include:

• Breastfeeding support

• Counseling

• Breastfeeding equipment, including breast pumps
  These benefits may be available before and after birth.

📄 How to See What’s Covered in a Specific Plan

For more details about a plan, check its Summary of Benefits and Coverage (SBC). It provides an easy, side-by-side look at the plan’s features, costs, and coverage.

Where to find the SBC on Stride:

1. Click the “Details” button while reviewing a health plan.

2. Scroll to a benefit category, such as “Prescription Drugs” or “Out-of-network coverage.”

3. If it’s available, you’ll see this message:
   “Need even more info? View the full summary of coverage.”

Don’t see an SBC link? You can:

• Visit the insurance company’s website

• Search online for:
  "[Plan Name] + Summary of Benefits and Coverage"

🎯 Ready to browse plans?
Click here to view health plans available in your area