How does Obamacare define fibromyalgia and under what section is it covered?


If you have fibromyalgia you can get a health plan under ObamaCare, but it's up to your provider as to how it is covered. Fibromyalgia treatment can include ambulatory care, hospitalization, drugs, and other treatments that are essential benefits. That means many treatments will be "covered benefits". However, there is no hard-and-fast rule that all needed treatments will be covered on all plans, also there is no rule of what cost sharing amount must be provided beyond minimum cost sharing amounts mandated by the ACA.

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