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MHBE-Overview-of-the-Producer-Authorization-Process - Maryland ...

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Product Summary<br />

Plans <strong>of</strong>fered on <strong>Maryland</strong> Health<br />

Connection will include:<br />

– Medical Only Plans<br />

– Medical Plans with Embedded<br />

Dental<br />

– Stand-Alone Dental Plans<br />

Carriers are required to obtain<br />

approval from <strong>the</strong> MIA on plans<br />

before <strong>the</strong>y can be certified by <strong>MHBE</strong>.<br />

Carrier applications indicate that <strong>the</strong>y<br />

intend to <strong>of</strong>fer PPO, HMO, EPO, POS<br />

products.<br />

Additionally, carriers have noted that<br />

<strong>the</strong>y intend to <strong>of</strong>fer plans across all<br />

metal tiers for <strong>the</strong> Individual and<br />

SHOP marketplaces.<br />

Essential Health Benefits<br />

Ambulatory Services<br />

Emergency Services<br />

Hospitalization<br />

Maternity and newborn care<br />

Mental health and substance use disorder<br />

services<br />

Prescription drugs<br />

Rehabilitative and habilitative services and<br />

devices<br />

Laboratory services<br />

Preventive and wellness services and chronic<br />

disease management<br />

Pediatric services including oral and vision care

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