Legislating contraception coverage


Legislation before Congress would require health plans that provide prescription drug benefits to cover FDA-approved prescription contraceptives. The bill is modeled on a Maryland law that took effect last April, when that state became the first to require commercial plans to cover contraceptives when they offer a prescription drug benefit. Since then, six other states have enacted mandates for contraceptive coverage; legislation is pending in 16 more states.

A recent study indicated that 84 and 81 percent of HMOs routinely provide coverage for oral contraceptives and diaphragms, respectively, while 86 and 88 percent cover tubal ligation and vasectomy, respectively. Coverage by indemnity plans drops to 33 and 21 percent for oral contraceptives and diaphragms, respectively; sterilization rates are similar, however, at 86 and 85 percent for tubal ligation and vasectomy, respectively.

SOURCE: NATIONAL SURVEY ON INSURANCE COVERAGE OF CONTRACEPTION, KAISER FAMILY FOUNDATION, MENLO PARK, CALIF., 1998

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.