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Is routine adult dental coverage considered an Essential Health Benefit (EHB)?

  1. Yes, in all cases

  2. No, it is not considered EHB

  3. Only if it is provided as part of a comprehensive plan

  4. Only for children under the age of 18

The correct answer is: No, it is not considered EHB

Routine adult dental coverage is not classified as an Essential Health Benefit (EHB) under the Affordable Care Act (ACA). The ACA outlines a specific set of ten categories of health services that must be covered by individual and small group plans, such as emergency services, hospitalizations, and mental health services, but it does not mandate coverage for adult dental services. While dental coverage is essential for children's health and is included as part of the EHB for those under 18, adult dental services do not fall under this category. Therefore, options that suggest adult dental coverage is a requirement for all adults or conditional on being part of a comprehensive plan are misleading, as they contradict the established guidelines of the ACA which clearly distinguishes between benefits for children and adults in this context.