This company offers Affordable Care Act (ACA) Marketplace health insurance plans emphasizing upfront value and access to care. Their plans feature unlimited $0 primary care and mental health visits, even before meeting the deductible. They provide coverage through a wide network of trusted providers, hospitals, and pharmacies with low deductibles.
Funding
$13.6M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Consumers purchasing ACA Marketplace health plans often face high deductibles, limited coverage for routine primary and mental health care, and unpredictable out‑of‑pocket costs, which can deter preventive utilization and lead to higher overall expenses.
Solution
Mending provides ACA Marketplace plans that deliver unlimited $0 primary care and unlimited $0 mental health visits from day 1, before any deductible is met. The plans feature low, metal‑tier deductibles (Bronze, Silver, Gold) and a broad network of over 4,000 hospitals, 75,000 pharmacies, and 100,000 providers. By integrating a Direct Primary Care (DPC) model, members receive same‑day or next‑day appointments, 45‑minute unhurried visits, and secure texting or phone communication with their PCP. Members can switch primary care doctors mid‑year or maintain their existing in‑network PCP at no extra cost. Transparent pricing and a digital portal give real‑time cost estimates for specialist, lab, and imaging services, eliminating surprise bills. The solution is delivered through an online enrollment platform and a searchable provider network that supports both individual and small‑business customers.
Target Audience
The primary customers are individual and family consumers in Maine and Oklahoma purchasing ACA Marketplace plans, as well as small businesses (2–50 employees) seeking affordable health benefits for their workforce.
Features
- Unlimited $0 primary care visits and unlimited $0 mental health visits effective immediately upon enrollment
- Low deductible options (Bronze, Silver, Gold) with clear cost structures for specialist, lab, and imaging services
- Direct Primary Care model offering same‑day/next‑day appointments, 45‑minute visits, and secure messaging with PCPs
- Ability to switch primary care doctors mid‑year or retain existing in‑network PCP without additional fees
- Wide provider network: 4,000+ hospitals, 75,000+ pharmacies, 100,000+ physicians and specialists across Maine and Oklahoma
- Online member portal for plan enrollment, benefit navigation, and real‑time provider search with ZIP‑code filtering
- Integrated tele‑behavioral health via Teladoc and optional vision benefits through VSP, all accessed through the same platform
- Transparent, upfront pricing for all covered services to prevent surprise billing