Glossary · Care and services
What are health insurance benefits?
Benefits are the health care items or services covered under a health plan. Covered benefits and excluded services are defined in the plan's coverage documents, or in state rules for Medicaid and CHIP.
Definition and figures from HealthCare.gov glossary, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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Benefits: the facts
| Item | Fact | Source |
|---|---|---|
| Defined in | The plan's coverage documents (state rules for Medicaid and CHIP) | HealthCare.gov glossary: Benefits |
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What does benefits mean in health insurance?
Benefits are the health care items or services covered under a health plan. Covered benefits and excluded services are defined in the plan's coverage documents, or in state rules for Medicaid and CHIP.