What benefits do health plans cover?

If you’ve enrolled through Maryland Health Connection, it’s important to know your plan covers these 10 important health benefits below when you need them. Your plan may offer additional benefits.

  • Doctor visits
  • Hospitalization
  • Emergency care
  • Maternity and newborn care
  • Pediatric care, including dental and vision benefits
  • Prescription drugs
  • Laboratory tests
  • Mental health care
  • Substance abuse treatment
  • Preventive and wellness care, as well as chronic disease management, including:
    • Flu and pneumonia shots
    • Birth control
    • Routine vaccinations
    • Screenings for cancer, such as mammograms and colonoscopies

Your coverage also can help you STAY healthy! Plans through Maryland Health Connection cover many preventive services like checkups, shots and screenings at no extra cost, without charging a copayment or coinsurance — even if you haven’t met your yearly deductible.

Preventive health services covered for adults

Preventive health services covered for women

Preventive health services covered for children

Check your plan’s details, called the Summary of Benefits and Coverage, to see the costs you will pay for specific medical services, and the difference in costs if you use a doctor who accepts or doesn’t accept that plan. You also can call your insurance company directly to find out what is covered.

For more information on health plans available through Maryland Health Connection and benefits covered, visit MarylandHealthConnection.gov.