Which of the following is NOT one of the 10 essential health benefits required by a comprehensive ACA plan?

• A. An annual CAT scan
• B. Emergency services
• C. Maternity and newborn care
• D. Preventive and wellness services

Answer: (A)

The ACA specifies ten essential health benefits that a comprehensive plan must cover. These cover a broad range of care categories, including emergency services, maternity and newborn care, preventive and wellness services, pediatric services (including oral and vision care for children), ambulatory/outpatient services, hospitalization, laboratory services, prescription drugs, mental health and substance use disorder services, and rehabilitative and habilitative services and devices.

An annual CAT scan is not listed as one of those required benefit categories. CT imaging may be used for specific medical needs and can be covered under the appropriate category when indicated, but there is no universal mandate that plans include a routine, yearly screening CT scan. The other options align with the mandated benefits, whereas the annual CAT scan does not.