KFF March 8, 2024
The 2023 KFF Consumer Survey of Consumer Experiences with Health Insurance finds cost barriers to adult dental care across coverage types. Conducted in February and March of 2023, the survey includes a nationally representative sample of 3,605 U.S. adults who have health insurance. This Policy Watch discusses a new proposal in the Health and Human Services (HHS) Benefit and Payment Parameters for 2025 that aims to expand access to adult dental care in Affordable Care Act (ACA) Marketplace plans.
Background
While dental coverage for children under the age of 18 is an essential health benefit (EHB) under the ACA statute, adult dental care is currently prohibited by agency regulation from being considered an EHB in individual and small group plans....
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