What is the main purpose of the Essential Health Benefits requirement?

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The main purpose of the Essential Health Benefits requirement is to ensure that all health insurance plans cover a minimum set of services. This requirement is pivotal in promoting health equity and accessibility, as it guarantees that consumers have access to a comprehensive range of necessary health care services without encountering exclusions for particular conditions or treatment types. By establishing a standardized baseline, the Essential Health Benefits framework helps to protect consumers from inadequate coverage and ensures that vital health care needs are met. This requirement plays a critical role in the Affordable Care Act and is aimed at improving health outcomes by facilitating access to essential medical services such as emergency care, maternity care, mental health services, and preventive care, thereby fostering a more robust health care system.

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