10 Essential Health Benefits Your Utah Insurance Plan Must Cover

Michelle Millburn • May 13, 2024

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Health Insurance Benefits for Utah residents

Health insurance is an important investment in your overall well-being, providing financial protection in case of unexpected medical expenses. When choosing a health insurance plan in Utah, it's crucial to make sure it covers essential health benefits that can help you maintain good health and access necessary medical care. Here are 10 essential health benefits that your Utah insurance plan must cover:

  1. Ambulatory patient services: This benefit covers visits to the doctor's office or outpatient clinics for consultations, diagnostics, and treatment of various health conditions. It ensures that you have access to primary care and specialty care services to address your health needs.
  2. Emergency services: Health emergencies can happen unexpectedly, and having coverage for emergency services is crucial for quick access to medical care in case of accidents, injuries, or severe medical conditions. Emergency services coverage can include ambulance services, emergency room visits, and hospital admissions.
  3. Hospitalization: This benefit covers the cost of inpatient hospital stays, surgeries, and other treatments that require an overnight stay in a hospital. Hospitalization coverage ensures that you can receive necessary medical care without worrying about the high costs of hospital services.
  4. Prescription drugs: Prescription drug coverage helps you afford the cost of medications prescribed by your healthcare provider to manage chronic conditions, treat acute illnesses, or prevent health complications. It includes coverage for generic and brand-name medications, as well as specialty drugs and vaccines.
  5. Maternity and newborn care: If you are planning to start a family or expand your family, it's essential to have coverage for maternity and newborn care. This benefit includes prenatal care, delivery services, postpartum care, and newborn care to ensure a healthy pregnancy and safe delivery.
  6. Mental health and substance use disorder services: Mental health and substance use disorders are common health conditions that require timely and effective treatment. Coverage for mental health services, counseling, therapy, and substance abuse treatment can help you address mental health issues and achieve overall well-being.
  7. Rehabilitative and habilitative services and devices: This benefit covers physical therapy, occupational therapy, speech therapy, and other rehabilitative services to help you recover from injuries, surgeries, or chronic conditions. It also includes coverage for medical devices, prosthetics, and assistive devices to support your physical function and mobility.
  8. Preventive and wellness services: Preventive care plays a crucial role in maintaining good health and preventing chronic diseases. Your insurance plan should cover preventive services such as vaccinations, screenings, counseling, and annual check-ups to help you stay healthy and detect health issues early on.
  9. Pediatric services: If you have children, pediatric services are essential for their growth and development. This benefit covers well-child visits, immunizations, screenings, and treatments for children's health conditions to ensure that your little ones receive the necessary medical care to thrive and stay healthy.
  10. Laboratory services: Lab tests and diagnostic services are essential for diagnosing and monitoring various health conditions. Coverage for laboratory services ensures that you have access to tests such as blood tests, x-rays, MRIs, and other diagnostics to help your healthcare provider make accurate diagnoses and develop effective treatment plans.


In conclusion, when selecting a health insurance plan in Utah, it's important to prioritize coverage for essential health benefits to ensure that you have access to necessary medical care and support for your health and well-being. By choosing a plan that covers these 10 essential health benefits, you can protect yourself and your loved ones from financial burden and receive the care you need to stay healthy and thrive. Remember to review the specifics of each benefit in your insurance plan to understand the coverage details and any limitations or exclusions that may apply. Investing in a comprehensive health insurance plan that covers essential health benefits is a wise decision that can provide peace of mind and security for your health and future.


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