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Jilly_in_VA

(9,966 posts)
Sat Feb 12, 2022, 06:19 PM Feb 2022

Insurance Companies Are Giving Ridiculous Reasons For Not Covering New Birth Control Methods

Whitney, an Indiana-based pediatrician who asked that her last name be withheld, had been using a year-long birth control ring called Annovera for nearly a year when she recently changed jobs, and her new insurance provider declined to cover the ring. Prior to the ring, Whitney had been using an IUD, knowing that a long-term birth control method would work best for her. But without coverage for her Annovera ring, she’s had to change to an alternative that hasn’t been working well for her. Aside from challenging her insurance company, however, Whitney says she “doesn’t have any other option right now but to use this non-preferred method.”

Stories like Whitney’s are common, according to Dr. Raegan McDonald-Mosley, CEO of the reproductive rights campaign Power to Decide, despite how under the Affordable Care Act, insurers are legally required to cover the full range of contraceptive methods, without any out-of-pocket costs. It’s through this mandate of the ACA that about 65 million Americans are able to access birth control without a co-pay.

Amid escalated attacks on reproductive rights, including a Supreme Court case that could reverse Roe v. Wade and a pandemic that’s created significant logistical barriers to get contraception and abortion, McDonald-Mosley emphasizes that patients trying to get reproductive care “aren’t doing this as a political act.” Birth control is a ubiquitous part of the lives of people of all ages, faiths, and communities. But as the FDA approves more and more forms of contraceptives, from new patches with lower hormones, to non-hormonal contraceptive gels, many private insurers are doing everything they can to shirk the ACA’s birth control mandate and avoid covering less traditional methods.

One patient McDonald-Mosley recently worked with concluded that a non-hormonal septic contraceptive gel would work best for her—only for her insurance company to require her to pay $300 out-of-pocket for just 12 applications of the gel, which she couldn’t afford. Health care providers like McDonald-Mosley are trying to help their patients choose the right contraceptive method for their unique needs, only for insurance companies to “undermine that decision-making, undermine the patient-provider relationship, and weaken patients’ overall trust in the medical system,” she says.

https://jezebel.com/insurance-companies-are-giving-ridiculous-reasons-for-n-1848520648
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It's time insurance companies were banned from practicing medicine without a license.

7 replies = new reply since forum marked as read
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Insurance Companies Are Giving Ridiculous Reasons For Not Covering New Birth Control Methods (Original Post) Jilly_in_VA Feb 2022 OP
politicians, too. nt Claire Oh Nette Feb 2022 #1
and the WAR ON WOMEN continues apace. Damn the womn-hating gestational slavers. niyad Feb 2022 #2
Plus 1 Demovictory9 Feb 2022 #5
Under the ADA, insurers must cover at least one of the 3 rings without cost-sharing. Hoyt Feb 2022 #3
I fought with insurance companies all the time Jilly_in_VA Feb 2022 #4
They're probably just doing what their employers require them to do, in order to keep their jobs. 😕 ShazzieB Feb 2022 #7
Time health insurance companies I_UndergroundPanther Feb 2022 #6
 

Hoyt

(54,770 posts)
3. Under the ADA, insurers must cover at least one of the 3 rings without cost-sharing.
Sat Feb 12, 2022, 06:33 PM
Feb 2022

If we go to a single payer system like MFA, I bet we'll see the same kind of requirements unless all 3 IUDs are roughly the same price (with negotiations).

Jilly_in_VA

(9,966 posts)
4. I fought with insurance companies all the time
Sat Feb 12, 2022, 06:45 PM
Feb 2022

when I was a case manager. I used to dread Mondays especially because that was the day I had to check in with them for all the long-term patients. And OMG, try to talk to them about drugs! No, one antibiotic or antidepressant (especially that!) is NOT the same as another!!!!!! And then you get "Well, I'm not a nurse, but..."! Listen, lady, if you're not a nurse, why the hell are you telling ME what to do and how to run MY show???????

ShazzieB

(16,389 posts)
7. They're probably just doing what their employers require them to do, in order to keep their jobs. 😕
Sat Feb 12, 2022, 08:22 PM
Feb 2022

Try to remember that the people you're talking to are insurance company employees. They don't make the rules, and knowing how corporations work, they're probably under a lot of pressure to keep costs down, push cheaper options, etc. It sucks, and it shouldn't be that way, but that's one of the things that happen when health care is a business run by corporations whose chief motivation is to maximize profits.

I_UndergroundPanther

(12,463 posts)
6. Time health insurance companies
Sat Feb 12, 2022, 06:58 PM
Feb 2022

Were banned all together.

Who likes smarmy lying,manipulative middlemen corporations skimming off what you pay and the govt.teat fucking with your medical choices and rights?

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