Health Insurance Marketplace Basics

The Health Insurance Marketplace created under the Affordable Care Act (ACA) is a new way to buy affordable health insurance.

You can qualify for Marketplace coverage if:
  1. You are a U.S. citizen or national (or lawfully present).
  2. You are between the ages of 0–64.
  3. You aren't currently incarcerated.
  4. You live in Indiana.
  MDwise Marketplace has decided to exit the individual market. As a result, MDwise Marketplace products will not be sold on healthcare.gov or directly through MDwise for 2018 coverage. You can still get coverage for the remainder of 2017 from MDwise if you have a qualifying life event.

Depending on your income level and family size, financial help may be available to reduce your monthly premium and/or out-of-pocket costs. Get an estimate of your eligibility for financial help and how much you could spend on health insurance.

When you buy a Health Insurance Marketplace plan, you will be able to choose from one of three categories of insurance. These categories are called metal levels and include Bronze, Silver and Gold. No matter which plan you choose you will receive same set of essential health benefits. This includes preventive care, medicines and doctor visits. These categories are not based on quality of care, but price alone. The categories vary by premium price (how much you pay per month for health insurance) and other things like how much hospital visits and medications will cost. 
Learn about MDwise Marketplace Bronze, Silver and Gold plans.

When you sign up for a MDwise Marketplace plan, you will need to choose a doctor (also called a primary medical provider, or PMP). The doctor you choose will be part of a hospital delivery system. He/she will work with you to keep you and your family healthy.

Choosing your PMP and delivery system is an important choice. You will have lower out-of-pocket costs if you go to your in-network doctor (or another doctor in his/her delivery system) for care.

MDwise Marketplace has Indiana’s top ranked doctors and hospitals in-network and close to home. Our network includes Eskenazi Health, Franciscan Alliance, Indiana University Health, Parkview Health, St. Joseph Health System, Community Health Network and St. Vincent Health. This means our members have access to an extensive network of doctors and hospitals. Explore the doctors and hospitals in our network.