Regulation
ACA EHB
The Affordable Care Act's Essential Health Benefits mandate (ACA § 1302) requires non-grandfathered individual and small-group plans sold on or off the exchanges to cover ten benefit categories, including mental health and substance use disorder services. If a plan excludes a behavioral health service covered under the state EHB benchmark, that exclusion violates federal law independent of MHPAEA.
Related terms
Ready to appeal a denial?
First 5 letters free. No credit card. Editable draft in minutes.
Generate my appeal letter →