Pennsylvania State Mandated Health Insurance Coverage

Medical insurance benefits that insurers in Pennsylvania must provide.

• alcohol/substance abuse
• ambulance transportation and services
• ambulatory surgery centers
• audiologist
• autism
• birthing center/midwife
• breast reconstruction
• cervical cancer/HPV screening
• chemotherapy
• chiropractor
• cleft lip and palate
• colorectal cancer screening
• dependent coverage (including newborns, adopted children, dependent students/adults, disabled dependent adults, domestic partner and civil union)
• diabetes (self-management and supplies)
• dietician
• early intervention service
• emergency room service
• home health care
• lay midwife
• mammography
• mastectomy (including minimum stay)
• maternity minimum stay
• mental health
• nurse (including midwife, anesthetist, psychiatric, practitioner
• occupational therapist
• optometrist
• orthotics
• osteopath (D.O.)
• ovarian cancer screening
• physical therapist
• physician assistant
• PKU/metabolic disorder
• podiatrist
• prescription drugs
• professional counselor
• prosthetics
• prostate cancer screening
• protein screening
• psychologist
• social worker
• special footwear
• speech therapist
• telemedicine
• well child care