BUILDING BLOCKS > CONSUMER BLOCK > ACCESS & COVERAGE STRUCTURE

Covered Benefits

What core benefits are necessary to improve consumer health?

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Health Benefits

Policy Definition: A regulatory prescribed set of benefits that health plans must make accessible to consumers.

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Dental Benefits

Policy Definition: Dental benefits are services an insurance provider is responsible to pay for (dependent on benefit design) on behalf of a beneficiary.

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Employee Retirement Income Security Act of 1974 (ERISA)

Policy Definition: ERISA outlines a minimum set of standards to establish protections for enrollees in health plans in the private sector. Relevant amendments to ERISA in the realm of health benefits are the Consolidated Omnibus Budget Reconciliation Act (COBRA), which protects workers and families from unexpected job loss, and the Health Insurance Portability and Accountability Act (HIPAA), which protects against discriminating against certain health factors. source

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