High out of pocket maximums for the lower tiered offerings.. Higher maximums than you see in most bottom end current plans. Imagine for the express purpose of having “teaser” rates.
Here are the ten "essential" benefits all the individual and small groups plans must include:
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services chronic disease management
Pediatric services