Covered services
All Apple Health managed care plans must cover these basic services shown below.
Hospitalization
A stay in the hospital, including inpatient surgery and recovery.
Emergency services
Visits to the emergency room, including ambulance services or
treatment at an urgent care center.
Ambulatory services
Doctor visits when you’re sick or injured, or outpatient clinic visits.
Prescription medications
Medicine your doctor orders.
Laboratory services
X-rays, MRIs, blood tests, etc.
Maternity and newborn care
For individuals who need prenatal care or help with pregnancy,
complications, and delivery.
Pediatric services, including dental and
vision care
Dental check-ups, routine eye doctor visits, eyeglasses, immunizations,
and more.
Preventive and wellness services,
including chronic disease management
Screening tests for things like osteoporosis and mammograms, and
help living with long-term illnesses like diabetes.
Behavioral health services
Mental health and substance use disorder treatment services
Rehabilitative services and devices
Physical therapy, speech therapy, artificial limbs, and other medical
equipment.
Learn about other benefits and services covered by Apple Health.