Health Care Benefits: Delaware

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates

Summary

• Delaware chose to establish a state-federal partnership Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Delaware has taken steps to preserve certain benefits made available under the Affordable Care Act. See Preserving ACA Benefits.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Group health insurance policies are generally prohibited from imposing preexisting condition exclusions. See Preexisting Conditions.
• Group health plans in Delaware must include certain maternity and dependent coverage. See Maternity and Dependent Coverage.
• Health plans in Delaware must include coverage for mental health and substance abuse treatments and provide mental health and substance abuse parity. See Mental Health and Substance Abuse Coverage.
• Group health plans must provide coverage for certain specified providers. See Coverage for Specified Providers.
• Health plans that cover mastectomies must also cover reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans must provide coverage for certain illnesses, diseases and services. See Diabetes; Contraceptive Services; Emergency Services; Inherited Metabolic Diseases.
• Plans issued in Delaware must provide coverage for particular types of medical devices and prostheses. See Medical Devices and Prostheses.
• Certain coverage with regard to children and dependents is mandatory. See Coverage for Children and Dependents.
• Health plans in Delaware must cover certain forms of cancer screening. See Mandatory Cancer Screening.
• The Living Donor Protection Act generally prohibits a health care insurer from taking certain actions against an individual based solely on their status as a living organ or tissue donor. See Organ and Tissue Donation.