Shop and Save with Essential Plans
Essential Plans make health care more accessible. Essential Plans, also called standard plans, cover primary care, specialists, urgent care, and generic prescription drugs without having to pay the deductible. They also provide free type 2 diabetes, heart disease and stroke care, HIV care from family doctors, and $5 care for pediatric mental health care. This includes free insulin. Look for the green ribbon when you shop for an Essential Plan.
ESSENTIAL PLANS COVER ESSENTIAL CARE WITHOUT DEDUCTIBLES FOR IN-NETWORK PROVIDERS.
This includes:
- Primary care visits
- Specialist visits
- Urgent care visits
- Mental and behavioral health care visits
- Generic prescription drugs
ESSENTIAL PLANS ALSO PROVIDE FREE TYPE 2 DIABETES, HEART DISEASE AND STROKE CARE, HIV CARE FROM FAMILY DOCTORS, AND $5 CARE FOR PEDIATRIC MENTAL HEALTH.
Free type 2 diabetes care with no deductibles, no coinsurance, and no copayments, including:
- Prescription drugs, including insulin
- Lab tests, including: a lipid panel, Hemoglobin A1C, a Microalbumin urine test or nephrology visit, a basic metabolic panel, a liver function test
- A dilated retinal exam per year
- A diabetic foot exam per year
- Primary care visits
- Diabetic supplies
- Nutritional counseling visits
Free heart disease and stroke care with no deductibles, no coinsurance, and no copayments, including:
- Prescription drugs, including: ACE inhibitors, statins, beta blockers, NSAIDS, anticoagulants, and platelet inhibitors
- CT Scan
- Electrocardiogram (EKG/ECG)
- Lab tests, including: lipid panel, blood chemistry, blood pressure reading, blood cell count, urinalysis, troponin testing, and nicotine test
- Primary care visits
- Nutritional counseling visits
- Smoking cessation counseling visits
$5 pediatric mental health care with no deductibles for children ages 18 and under, including:
- Pediatrician visits
- Psychiatrists, psychologists, and other specialist visits
- Individual, family and group therapy
- Prescription drugs, including: antidepressants, anti-hypertensives, anxiolytics, and anti-psychotics
- Laboratory tests
Free HIV care with no deductibles, no coinsurance, and no copayments, including:
- Primary care visits
- Generic HIV prescription drugs
- Laboratory tests
SAVE TIME SHOPPING
Comparing Essential Plans makes it faster and easier to find a plan that meets your needs and budget. All Essential Plans at the same metal level have the same deductibles, coinsurance, and copayments for care. The major differences among Essential Plans at the same metal level are monthly premiums and provider networks. Use our Plan Match tool to compare plans and see which plans include your prescription drugs and preferred doctors.