Essential Benefits

All MDwise Marketplace products include 10 essential health benefits. They are required under the Affordable Care Act. They include:
  1. Ambulatory patient services (care you get without being admitted to a hospital, like at a clinic or doctor’s office)
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care (care given to women during pregnancy and care after baby is born)
  5. Mental health and substance use disorder services, including behavioral health treatment (care for mental health and substance abuse)
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities or chronic conditions gain or recover mental and physical skills)
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management (includes routine physicals and immunizations/shots)
  10. Pediatric services (services covered for children, includes vision care)