Does Molina Healthcare Cover Birth Control?

Does Molina Healthcare Cover Birth Control
Your plan covers a range of birth control services and prescription and over-the-counter (OTC) products with $0 member cost-sharing. Plan network rules apply.

Can birth control be covered by insurance?

How can I get birth control pills for free? – There’s a good chance you can get low-cost or free birth control pills if you have health insurance. Because of the Affordable Care Act (aka Obamacare), most insurance plans must cover all methods of birth control at no cost to you, including the pill.

However, some plans only cover certain brands of pills or generic versions. Your health insurance provider can tell you which types of birth control they pay for. Your doctor may also be able to help you get the birth control you want covered by health insurance. Learn more about health insurance and affordable birth control,

If you don’t have health insurance, you’ve still got options. Depending on your income and legal status in the U.S., you could qualify for Medicaid or other government programs that can help you pay for birth control and other health care. Planned Parenthood works to provide services you need, whether or not you have insurance.

Who does Texas Medicaid cover?

Medicaid and the Children’s Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.

How do I cancel my Molina Healthcare in Texas?

Members may discontinue Molina coverage by calling Molina Member Services at 1-888-560-2025. Voluntary disenrollment does not preclude members from filing a grievance with Molina Healthcare for incidents occurring during the time they were covered.

Does Texas have free health insurance?

Medicaid provides free or low-cost health coverage to eligible needy persons.

Does Texas Medicaid cover outside of Texas?

Eligibility requirements – The challenge of applying for Medicaid in a new state is that each state has its own requirements for eligibility, so just because you’re entitled to coverage in one state doesn’t mean it’s guaranteed in another. Medicaid eligibility hinges on several factors:

Income level Assets/resources (if the applicant is 65 or older, or enrolling Medicaid due to disability, blindness, or receiving HCBS or long-term care services) Medical expenses (in states that have Medically Needy Medicaid programs ) Level of care requirements for long-term care

The thresholds for income level and asset level eligibility are fairly similar across states, with the significant exception of adult Medicaid expansion under the ACA, The ACA called for all states to expand Medicaid eligibility to adults (age 19-64) with household income up to 138% of the poverty level.

But the Supreme Court later ruled that this would be optional (ie, states would not lose their Medicaid funding for refusing to expand eligibility), and there are still 12 states that have not expanded their Medicaid eligibility rules as of 2022.
So for example, let’s say you live in Illinois and are enrolled in Medicaid under the ACA’s adult population eligibility expansion rules.

If you decide to move to Florida or Texas or another state that hasn’t expanded Medicaid, you likely will not be eligible for Medicaid after your move. Medically Needy program requirements and level of care requirements for long-term care coverage vary from state to state.

So while you may qualify for Medicaid (or Medicaid-funded nursing home care) in one state based on the amount of care you need, that won’t necessarily hold true in another.
Be sure to research the rules of the state to which you’re seeking relocation to ensure that your coverage will be able to continue.

Keep in mind that if you’re eligible for Supplemental Security Income, you’ll often automatically qualify for Medicaid. Thirty-three states and DC grant automatic Medicaid eligibility to people receiving SSI. The remaining states do their own eligibility determinations, although they’re generally the same as the rules for SSI.

So people who receive SSI are generally always eligible for Medicaid, but have to submit separate applications for their medical coverage in some states. For people age 65 or older, Medicaid plays a crucial role in supplementing Medicare and providing long-term care coverage for millions of people with limited income and assets.

You can click on a state on this map to see more details about state-specific programs and eligibility rules.

Is health insurance high in Texas?

In Texas, the average cost of health insurance across all tiers is $469 per month, a decrease of 6% between 2022 and 2023.

Is birth control free in Texas?

Sign up for The Brief, our daily newsletter that keeps readers up to speed on the most essential Texas news. Abortion services are coming to an end in Texas, but Texans still have access to a range of birth control and reproductive health care services through most health insurance plans and government-funded programs.

Access and confidentiality vary based on the type of birth control, insurance and whether funding comes from the state or federal government.
Here’s a rundown of how you can access birth control, emergency contraception and other services.
Does health insurance cover birth control? Under the Affordable Care Act, most health insurance plans must provide contraception options and family planning counseling at no out-of-pocket cost, according to the U.S.

Department of Health and Human Services, This includes FDA-approved options prescribed by a doctor such as birth control pills, vaginal rings, implants like IUDs, barrier methods, sterilization procedures and emergency contraception like Plan B and Ella.

You can learn more about contraception methods here, However, insurance providers may not cover all contraception options and brands, especially if they are newer. “Overall, insurers needed to provide at least one method in a specific class of methods,” said Kari White, an associate professor of sociology and social work at the University of Texas at Austin and the lead investigator of the Texas Policy Evaluation Project, which is a collaborative group of researchers who study the impact of contraception and abortion policy in the state.

Insurance providers are also not required to cover abortion-inducing medications or vasectomies for men. Religious institutions like churches are exempt from the requirement to provide employees with insurance coverage for contraception and family planning counseling, but you may still be able to access free services if your insurance plan is sponsored or arranged by a religious nonprofit such as a hospital or higher education institution.

Private companies in which five or fewer people own more than half of the company can also object to covering contraception if it conflicts with the owners’ religious beliefs under a 2014 Supreme Court ruling in favor of retailer Hobby Lobby. Read more about general health insurance coverage guidelines from the U.S.

Department of Health and Human Services here, Most insurance plans are also required to cover preventive health services such as Pap tests, breast and cervical cancer screenings, prenatal care, testing for sexually transmitted infections and screening and counseling for interpersonal violence.

Where can I get birth control if I’m uninsured? Texas has more uninsured people than any other state, and it’s the largest of a dozen states that have opted to not use additional federal funds to expand Medicaid coverage for low-income people.
That left more than half a million Texans in a coverage gap because they earn too much to qualify for Medicaid and too little to afford private health insurance.

If you can’t access insurance through an employer or the federal marketplace, you can get contraception and preventive services at government-funded clinics. Clinics that receive funding through the federal Title X Family Planning Program offer contraception, breast and cervical cancer screenings and screening and treatment for sexually transmitted infections.

There are more than 175 Title X clinics across Texas, according to Every Body Texas, which oversees the federal grants in the state.
The clinics are meant to help teens and people who can’t afford health care, are uninsured or may not have a government-issued identification, but White, of the Texas Policy Evaluation Project, said they are open to anyone.

Services for men and women are provided on a sliding scale, based on income, and may be free for people who fall under federal poverty guidelines, she added. You can find Title X clinics on Every Body Texas’ website. Texas also funds certain birth control methods and other preventive services for low-income women through two programs called Healthy Texas Women and the Family Planning Program.

Under the Healthy Texas Women program, people can access birth control pills and other forms of contraception for free. The program is open to women in Texas between the ages of 15 to 44 years old who are not pregnant, are U.S. citizens or qualified immigrants and meet low-income standards, A single person can earn only up to $2,313 per month to qualify.

Women under 18 must apply through a parent or guardian. The state’s Family Planning Program offers similar free or low-cost services. It is open to men and women in Texas who are 64 or younger and who earn an income of up to 250% of the federal poverty guidelines for their household’s size.

This year, the maximum for a household of one person is $33,975. Under both state-run programs, a person is granted services for a year unless their income or qualification status changes. The person can reapply for benefits if they still meet qualifications. Some clinics work with both Title X and state funding, so staff there can help you figure out under which program you may be covered, White said.

What if I’m an undocumented immigrant? Immigrants without legal status can receive care at Title X clinics and may qualify for Texas’ Family Planning Program. I’m younger than 18. Where can I get birth control without parental consent? Teens can access contraception without parental consent at Title X clinics and at other approved providers if they have Medicaid.

But the nonprofit Jane’s Due Process, which runs a helpline for teen reproductive care, warns Medicaid may send an explanation of benefits or follow-up letter to your address, so it may not be completely confidential.
Texas is one of just two states that does not cover birth control at all — with or without parental consent — on the state-run Children’s Health Insurance Program.

What about Planned Parenthood and other abortion providers? Texas also bars people from using Medicaid to pay for services outside of abortion, like birth control, at clinics associated with abortion services, such as Planned Parenthood. This also applies to women covered under the Healthy Texas Women program, White said.

But it is unclear how this restriction will apply if these providers stop providing abortions, she added. Planned Parenthood of Greater Texas did not immediately respond to a request for comment, but its website still says Texans who rely on Medicaid plans are blocked from seeking care at its health centers.

The restriction does not comply with federal Medicaid guidelines, White said, but Texas spent about a decade fighting to remove Planned Parenthood from any state-funded programs. By 2014, 82 family planning clinics in Texas had shuttered, and only a third were from Planned Parenthood.

People with commercial insurance can access birth control and other services through abortion providers like Planned Parenthood and Whole Woman’s Health if they are in their insurer’s network, White said.
People can also opt to pay out of pocket and some providers may have philanthropic support to serve people who can’t afford to pay, she said.

Through the Planned Parenthood Direct mobile app, people can also order birth control and emergency contraception. But for those 17 and younger, it would require parental consent in Texas, White said. How can I get emergency contraception? Plan B, which can prevent pregnancy after unprotected sex if taken within 72 hours, is available for anyone to buy over the counter.

Pricing can range from about $17 to $50 without insurance, depending on the brand and pharmacy. It must be prescribed by a doctor for it to be covered by insurance. Emergency contraception, including Plan B, may also be available through places that receive Title X funding such as clinics and local public health departments, White said.

Ella, another emergency contraception pill that works up to five days after sex, requires a prescription, but it can also be prescribed and ordered online through an online pharmacy, according to the online resource Bedsider, which is informed by medical professionals.

This option is also more effective than Plan B for people over 165 pounds. What are the options for vasectomies and tubal ligation? Permanent forms of birth control like vasectomies for men and tubal ligation for women, which is also known as getting one’s “tubes tied,” can be options under Title X clinics and Texas’ Family Planning Program, but they can be harder to obtain because they may require specialists outside of a clinic and some providers may not take lower reimbursements from government programs, White said.

“So it can be difficult for health care providers to work with an outside agency like an ambulatory surgical center or hospital to pay for that procedure,” she said. Some commercial insurers may cover only part of the cost for a vasectomy or require patients to first pay a deductible, White added.

Do you need a prescription for birth control?

Yes. In order to start using birth control pills, a nurse or doctor has to give you a prescription. You can get a prescription at a doctor’s office, health clinic, or your local Planned Parenthood health center, In some states, you can even get a prescription online or directly from a pharmacist.

During your visit, a nurse or doctor will talk with you about your medical history, check your blood pressure, and give you whatever exams you may need. Most people don’t need a pelvic exam to get birth control pills. Your nurse or doctor will help you decide what’s right for you based on your medical history.

You may be able to get your birth control pills right away during your appointment. Or you’ll get a prescription for your birth control pills from the nurse or doctor, and you’ll go pick up your pills at a drugstore or pharmacy. Prices vary depending on whether you have health insurance, or if you qualify for Medicaid or other government programs that cover the cost of birth control pills.

What age is the pill free?

Is contraception free in Ireland? – You can get free contraception if you are:

A woman or person with a uterus Aged 17 to 26 Living in Ireland

Is the pill free for everyone?

You can get contraception free of charge, even if you’re under 16, from:

contraception clinicssexual health or GUM (genitourinary medicine) clinicssome GP surgeriessome young people’s servicespharmacies

Find a sexual health clinic

What age is birth control free?

Your information. You will need to give your PPS number, name, date of birth and address at your appointment and the pharmacy. We need this to make sure that you are in the 17 to 26 age group covered by the free contraception service.

Is birth control free with Cigna?

Cigna provides coverage for female birth control medication, sterilization, devices, products, and services without any cost-sharing requirements.

Do you need a prescription for birth control pills?

During your visit, a nurse or doctor will talk with you about your medical history, check your blood pressure, and give you whatever exams you may need.
Most people don’t need a pelvic exam to get birth control pills.
Your nurse or doctor will help you decide what’s right for you based on your medical history.