Under the Affordable Care Act (ACA), all non-grandfathered health plans must cover approved prescription contraceptive methods for women without charging plan participants and beneficiaries a copayment, coinsurance or deductible. However, the ACA grants an accommodation to this requirement for certain eligible religious nonprofit organizations.
The employer groups listed above certified that their group health plan qualifies for an accommodation with respect to the federal requirement to cover contraceptive services for women, as prescribed by a health care provider, without cost sharing. This means that they will not contract, arrange, pay or refer for contraceptive coverage including the following contraceptive or sterilization services:
Instead, Dean Health Plan will provide or arrange separate payments for these contraceptive services, without cost sharing and at no other cost, for as long as a woman is enrolled in their employer health plan and services are performed by an in-network provider.
This plan covers evidence-informed preventive care and screenings for women provided for in current HRSA-approved guidelines. This includes:
Benefits under this Plan are covered at first dollar coverage. Benefits are only available through in-network providers. See Summary Plan Description (SPD) for more details on coverage and eligibility.
Dean Health Plan and Navitus Health Solutions have developed a drug formulary to assist you, our members and your providers with an easy reference to obtain a list of drugs that are covered under this plan.
Dean Health Plan and Navitus Health Solutions have developed a drug formulary to assist you and your providers with an easy reference to obtain a list of drugs covered under this plan.