Ambulatory patient services (outpatient care you get without being
admitted to a hospital)
|
NO
|
Emergency services
|
NO
|
Hospitalization (like surgery and overnight stays)
|
YES
|
Pregnancy, maternity, and newborn care (both before and after birth)
|
In hospital childbirth only
|
Mental health and substance use disorder services, including
behavioral health treatment (this includes counseling and psychotherapy)
|
Only inpatient hospital
|
Prescription drugs
|
NO
|
Rehabilitative and habilitative services and devices (services and
devices to help people with injuries, disabilities, or chronic conditions
gain or recover mental and physical skills)
|
Inpatient care center only
|
Laboratory services
|
Only when in hospital
|
Preventive and wellness services and chronic disease management
|
NO
|
Pediatric services, including oral and vision care (but adult dental
and vision coverage aren’t essential health benefits)
|
NO
|
So Medicare Part A fully covers one of the ten services listed and partially covers an additional four. Yet the government considers this to be "qualifying coverage". No private health plan can offer only inpatient care (as Medicare Part A does), but Medicare gets a pass form the government.
Your government at work.