Women's Rights & Issues
Related: About this forumInsurance 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, shes had to change to an alternative that hasnt been working well for her. Aside from challenging her insurance company, however, Whitney says she doesnt have any other option right now but to use this non-preferred method.
Stories like Whitneys 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. Its 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 thats created significant logistical barriers to get contraception and abortion, McDonald-Mosley emphasizes that patients trying to get reproductive care arent 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 ACAs 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 heronly for her insurance company to require her to pay $300 out-of-pocket for just 12 applications of the gel, which she couldnt 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.
Claire Oh Nette
(2,636 posts)niyad
(119,939 posts)Hoyt
(54,770 posts)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
(10,889 posts)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
(18,673 posts)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
(12,934 posts)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?