A new Kaiser Family Foundation report released today finds how health insurance carriers are interpreting and implementing the Affordable Care Act’s contraceptive coverage requirement varies, limiting contraceptive options for some women. The ACA requires most private health insurance plans to cover a range of preventive services for women, including prescribed FDA-approved contraceptives and services without cost sharing. The report reviews how health carriers are applying medical management limitations to contraceptive coverage that affect women’s contraceptive options.
Key findings, drawn from information collected from 20 different health insurance carriers in five states (California, Georgia, Michigan, New Jersey, and Texas), include:
The Kaiser Family Foundation and the Lewin Group conducted interviews with plan officials for nine health insurance carriers and reviewed publicly available plan documents on contraceptive coverage policies for an additional 11 carriers between August and October 2014. The study did not include oral contraceptives because of the large number of different formulations, brands and generics that are available.
The full report, Coverage of Contraceptive Services: A Review of Health Insurance Plans in Five States, is available at KFF.org. Also available soon: an archived web cast of today’s event that includes a presentation of the report’s findings and a panel discussion.
For the latest in women’s health policy, follow Kaiser Family Foundation Vice President Alina Salganicoff on Twitter, @a_salganicoff