FAIR COVERAGE FOR WOMEN
Over the years there have been numerous debates regarding the services available to women through Medicaid, Medicare, and insurance companies.
Many arguments have ensued over additional costs to women, lack of maternity care, preventive care, and access to coordinated care.
With the Affordable Care Act opening enrollment on October 1st, 2013; a variety of information is available to help women understand the coverage options that will be available. And, we have compiled a “Quick Cheat Sheet” on the pertinent changes women should be aware of.
Through the Affordable Care Act, Women:
- Won’t be charged more for health insurance because you’re a woman.
- Can’t be denied coverage OR charged more due to pre-existing conditions.
- Can select any primary care provider, OB-GYN, or pediatrician in your network without a referral.
- Get free preventive care including: mammograms, well-woman visits, all FDA-approved contraceptive methods and supplies, gestational diabetes screening, HPV co-testing, counseling and screening for HIV, breast-feeding counseling and equipment – all with no deductibles or copays.
- Will have timely access to family planning services as a result of simplified processes for states to expand Medicaid eligibility for such planning.
- Will have guaranteed access to Essential Community Providers including women’s health centers, HIV/AIDS clinics, community health centers, and public hospitals that serve medically underserved and low-income populations.
- Will have Universal Maternity Coverage that includes 10 essential benefits, one of which is coverage for maternity and newborn care.
- Will be supported by expanding Medicaid. A childless woman earning up to $14, 856 annually will qualify for Medicaid, as will a family of four with an income of $30,657 or less.
- Businesses now have to offer nursing mothers, who are hourly employees, a clean, safe space (NOT a bathroom) in which to express breast milk at work.
- Pregnant and parenting women on Medicaid will get access to needed services including a home visitation program with parenting info, resources, and support through the child’s first three years. There will also be free education about post-partum depression, anti-smoking programs, violence prevention, and more.
- Senior women will have access to coordinated care to help reduce dangerous drug interactions, duplicative tests and procedures, conflicting diagnoses, and preventable re-admissions.
- A closing of the Medicare prescription drug coverage gap will save senior women thousands of dollars.
For additional information on the Affordable Care Act and how it serves women, go to: www.healthcare.gov.
National Partnership for Women & Families: http://go.nationalpartnership.org/site/PageServer?pagename=issues_health_reform_anniversary
Additionally, see our article on Open Enrollment: Resources for Physicians at: http://triagelogic.com/Open-Enrollment-Resources-for-Physicians