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EPPlan

WHAT IS THE ESSENTIAL PLAN?

The Essential plan offers quality health insurance to
working adults with lower incomes who do not qualify for Medicaid.

ESSENTIAL PLAN BENEFIT HIGHLIGHTS

Clinic and Office Visits

Services coved at no cost:

  • Clinic, doctor office visits, therapy visits
  • Physical therapy
  • Urgent care, telehealth, doctor or therapist calls
  • Chiropractic Visit*

Hospitalization and Support Services

Outpatient Mental Health Care*

Home Health Care 40 visits Per Plan Year*

Maternity and Newborn Care*

Maternity

Our Essential Plan members have:

  • $0 Prenatal care
  • $0 Inpatient Hospital Services*
  • $0 Breast Pump*

Lab and Radiology

Lab tests, radiology covered at no cost*
(e.g Ultrasound, X-ray, CT, MRI)

*individual benefits may vary

Pharmacy

$0 copay on generic pharmacy drugs*

Vision Care

Services covered at no cost:

  • Eye Exams
  • Lenses and Frames
  • Contact lenses
  • 1 Exam per Plan Year
  • 1 Prescribed lenses and frames per Plan Year

Comprehensive and Preventive Dental

GREAT NEWS!! Your dental provider has changed to DentaQuest. Enjoy a larger network which means more dentists near you! Members are eligible for 1 visit every 6 months for each of the following services:

  • Oral exam
  • Dental x-rays
  • Cleaning
  • Flouride Treatment
    Plus more

Diagnostic services and extractions were added to our comprehensive dental services.

last updated: February 16, 2024