(3) Professional services of physicians and other 1
health professionals. 2 (4) Such services, equipment, and supplies inci- 3 dent to the services of a physicians or a health pro- 4 fessionals delivery of care in institutional settings, 5 physician offices, patients homes or place of resi- 6 dence, or other settings, as appropriate. 7 (5) Prescription drugs. 8 (6) Rehabilitative and habilitative services. 9 (7) Mental health and substance use disorder 10 services. 11 (8) Preventive services, including those services 12 recommended with a grade of A or B by the Task 13 Force on Clinical Preventive Services and those vac- 14 cines recommended for use by the Director of the 15 Centers for Disease Control and Prevention. 16 (9) Maternity care. 17 (10) Well baby and well child care and oral 18 health, vision, and hearing services, equipment, and 19 supplies at least for children under 21 years of age. 20 (c) REQUIREMENTS RELATING TO COST-SHARING 21 AND MINIMUM ACTUARIAL VALUE. 22 (1) NO COST-SHARING FOR PREVENTIVE SERV- 23 ICES.There shall be no cost-sharing under the es- 24 sential benefits package for preventive items and 25 VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC July 14, 2009 (12:51 p.m.) F:\P11\NHI\TRICOMM\AAHCA09_001.XML f:\VHLC\071409\071409.140.xml (444390|2)