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

All health plans offered through the Marketplace must include the same set of 10 Essential Health Benefits, as required by the Affordable Care Act (ACA). This ensures that no matter which plan you choose, you’ll receive coverage for key services.

🩺 The 10 Essential Health Benefits:

1. Ambulatory (Outpatient) Services
   Care you receive without being admitted to a hospital — like visits to your primary care doctor or specialists.

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

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

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

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

6. Prescription Drugs
   Medications prescribed by your healthcare provider.

7. Rehabilitative & Habilitative Services and Devices
   Helps people recover or improve skills lost due to injury, disability, or chronic conditions.

8. Laboratory Services
   Includes diagnostic tests like blood work or imaging.

9. Preventive & Wellness Services, and Chronic Disease Management
   Includes screenings, immunizations, and services that help prevent or manage conditions like diabetes.

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

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

🔒 All Stride Plans Are ACA-Compliant

Every plan you see on Stride’s platform is ACA-compliant, which means it includes all 10 essential health benefits listed above.

🤱 Birth Control & Breastfeeding Support

Looking for info 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

To get more details on any plan, check out the Summary of Benefits and Coverage (SBC) — a simple, side-by-side comparison of plan features, costs, and coverage.

Where to find the SBC on Stride:

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

2. Scroll down to one of the benefit categories (like “Prescription Drugs” or “Out-of-network coverage”).

3. If available, a message will appear:
   “Need even more info? View the full summary of coverage.”

No SBC link? You can:

• Visit the insurance company’s website

• Or search online using:
  "[Plan Name] + Summary of Benefits and Coverage"

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