Tuesday, November 5, 2013

Sterilization Coverage under ACA Obamacare

Did you know that Obamacare has different requires for sterilization for Essential Health Benefits based on gender?  Females have sterilization coverage mandated. Sterilization coverage for men is not mandated.

Here's an excerpt from the healthcare.gov website.

Plans in the Health Insurance Marketplace must cover contraceptive methods and counseling for all women, as prescribed by a health care provider.

These plans must cover the services without charging a copayment, coinsurance, or deductible when they are provided by an in-network provider.

Covered contraceptive methods

All Food and Drug Administration-approved contraceptive methods prescribed by a woman’s doctor are covered, including:
  • Barrier methods (used during intercourse), like diaphragms and sponges
  • Hormonal methods, like birth control pills and vaginal rings
  • Implanted devices, like intrauterine devices (IUDs)
  • Emergency contraception, like Plan B® and ella®
  • Sterilization procedures
  • Patient education and counseling
Plans aren’t required to cover:
  • Drugs to induce abortions
  • Services related to a man’s reproductive capacity, like vasectomies
Source: Healthcare.gov

Why do you think there is a different in coverage?

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