This fact sheet, Preventive Services Covered by Private Health Plans under the Affordable Care Act (ACA), examines the types of preventive services or benefits that must be covered without cost sharing for adults and children. The fact sheet explores the rules and challenges of implementing coverage, as well as the application of reasonable medical management, and it outlines steps the government has taken to address these issues.
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This fact sheet reviews how coverage of contraceptives varies between private insurance under the Affordable Care Act (ACA) and publicly-funded programs, including Medicaid, Medicare, TRICARE, the Indian Health Service, and Title X funded clinics.
A newly-updated infographic from the Kaiser Family Foundation explains the final regulations on employer-based coverage of birth control released today by the U.S. Department of Health & Human Services. How Does Where You Work Affect Your Contraceptive Coverage? provides a clear explanation of coverage requirements under the new regulations for employers with…
Public programs and private health insurance now pay for the vast majority of contraceptive services and supplies for women. However, complex and shifting regulations shaped by state and federal policy, legal challenges to the Affordable Care Act’s contraceptive coverage provision, and other factors affect the scope of coverage. New resources…
Following up on an earlier column for The Wall Street Journal’s Think Tank on seniors and poverty, Drew Altman looks at why older women will be more at risk of economic insecurity than men in the future. All previous columns by Drew Altman are available.
Following up on an earlier column for The Wall Street Journal’s Think Tank on seniors and poverty, Drew Altman looks at why older women will be more at risk of economic insecurity than men in the future.
New HHS clarification on ACA contraceptive coverage requirement specifies that insurance plans must cover at no cost to women all of the 18 contraceptive methods approved by the FDA. If a provider recommends a specific option or product, plans must cover it at no cost as well. Minimum Contraceptive Coverage…
In this May post for the journal Women’s Health Issues, Alina Salganicoff, Usha Ranji and Laurie Sobel explore Medicaid’s role in providing health coverage for women over the past 50 years and outline key issues going forward. The post is now available here.
The Affordable Care Act (ACA) has changed access to health coverage for millions of women across the nation, including a provision requiring most private health insurance plans to provide coverage for prescription contraceptives and services. On Thursday, April 16 at 9:30 a.m. ET, the Kaiser Family Foundation hosted a briefing to…
The Patient Protection and Affordable Care Act (ACA) requires most private plans to provide coverage for women’s preventive health care, including all prescribed FDA-approved contraceptive services, without cost sharing. To better understand how this provision is being implemented by health plans, Kaiser Family Foundation (KFF) staff, with the Lewin Group, reviewed the insurance plan coverage policies for 12 prescribed contraceptive methods (excluding oral contraceptives). This report presents information from 20 different insurance carriers in five states (California, Georgia, Michigan, New Jersey, and Texas) about how they are applying reasonable medical management (RMM) techniques in their coverage of women’s contraceptive services. The different forms of female birth control reviewed in this report include the contraceptive ring, the patch, injections, implants, intrauterine devices (IUDs), and sterilization.