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Vermont Essential Health Benefits Benchmark

Under the Affordable Care Act, individual and small group health plans are required to cover ten categories of Essential Health Benefits (EHB). Each state is authorized to develop state-specific EHB benchmark plans detailing the specific services required to be covered under each broad EHB category. In August 2022, the Centers for Medicare & Medicaid Services (CMS) approved expanded coverage in Vermont’s essential health benefit (EHB) for services including prescription hearing aids.

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