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State laws cannot regulate self-insured employers, which cover about 60% of insured workers nationwide.) In addition, the federal guarantee specifically requires coverage for 18 methods of contraception used by women (including female sterilization), along with related counseling and services, and it requires this coverage to be provided without any out-of-pocket costs to the patient, such as copayments or deductibles.The federal guarantee does not require similar coverage for vasectomy or male condoms.One regulation allows any employer—nonprofit or for-profit—to exclude some or all contraceptive methods and services from the health plans it sponsors if the employer has religious objections.Another regulation allows employers with moral objections to do the same, although it applies to a slightly narrower set of employers (any employer that is not a publicly traded company).Enforcement of these regulations has been blocked by the courts.Previous federal regulations are in effect that offer an exemption for a much narrower set of explicitly religious employers and provide an “accommodation” for other nonprofit and closely held for-profit employers with religious objections that allows them to avoid paying or arranging for contraceptive coverage while still ensuring that employees and dependents receive coverage seamlessly from the same insurance company.Since the mid-1990s, 28 states have required health insurance plans regulated by the state that provide coverage of prescription drugs and devices to also cover prescription contraceptives.

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(An employer that self-insures shoulders the financial risks for health care costs for its employees.

* Religious insurers are not exempt from the mandate but may provide contraceptive coverage through a subcontract with another insurer or third-party entity.

† Enrollees have the option of obtaining coverage directly from insurer.

** Health plans are required to offer employers the option of including coverage for contraception.

€ The state’s law allows pharmacists to dispense the full amount of a prescription at one time, including contraception, but there is no requirement that health insurance plans cover the cost of accessing a year’s worth of contraceptives at one time.


  1. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information. If you are interested in advocating for hearing aid insurance mandates in your state, view our model bill for insurance coverage.

  2. N Engl J Med. 2017 Oct 26;377171607-1609. doi 10.1056/NEJMp1709585. Mandating Coverage for Fertility Preservation - A Step in the Right Direction. Cardozo ER1, Huber WJ1, Stuckey AR1, Alvero RJ1. Author information 1From the Division of Reproductive Endocrinology and Infertility E. R. C. W. J. H. R. J. A.

  3. Sep 16, 2014. For decades, states have set rules for health coverage through mandates, laws that require insurers to cover specific types of medical care or services. The health law contains provisions aimed at curbing this piecemeal approach to coverage. States, however, continue to pass new mandates, but with a.

  4. Roughly 64 percent of the U. S. population is covered by some type of employer-sponsored health insurance. Because an estimated 72 to 77 percent of the uninsured live in households where the household head is employed for at least part of the year, mandating employer insurance would appear to be an effective tool for.

  5. Essential Health Benefits. A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.

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