Family planning services and supplies are available for members of reproductive age (12 - 55 years of age) regardless of gender, who voluntarily choose to delay or prevent pregnancy. Family planning services and supplies are available at no cost through any appropriate provider, regardless of network status. There is no referral required when choosing a family planning provider. There is no prior authorization requirement and no copayment or other charge for family planning services and supplies.
Let us help you get the health care you need to have a healthy baby. B – UFC/ALTCS does not require you to get a referral, when choosing a family planning provider. If you require Family Planning Services or Supplies from a provider that is not in network, you may call your case manager to start the prior authorization process.
Family planning providers can help you review and choose birth control methods that will work for you. If you need assistance with any family planning service or supply, please contact your provider or call our Customer Care Center.
Family planning services for members eligible to receive full health care coverage may receive the following services:
- Contraceptive counseling, medication and supplies, including but not limited to:
- Oral and injectable contraceptives.
- Long-acting reversible contraceptives (LARC).
- Immediate postpartum long-acting reversible contraceptives (IPLARC).
- Intrauterine devices (IUD).
- Subdermal implantable contraceptives.
- Diaphragms, condoms, foams and suppositories.
- Associated medical and laboratory examinations and radiological procedures, including ultrasound studies related to family planning.
- Treatment of complications resulting from contraceptive use, including emergency treatment.
- Natural family planning education or referral to qualified health professionals.
- Emergency oral contraception within 72 hours after unprotected sexual intercourse (Mifepristone, Mifeprex or RU486 is not post-coital emergency contraception).
- Pregnancy screening.
- Medications when associated with medical conditions related to family planning or other medical conditions.
- Screening and treatment for sexually transmitted infections are covered regardless of gender.
- Sterilization services for members over 21 years of age, regardless of gender.
The following services are not covered under family planning:
- Infertility services, including testing, treatment or reversal of a tubal sterilization or vasectomy.
- Pregnancy termination counseling.
- Pregnancy termination – unless you meet the conditions described in the Pregnancy Termination Section.
- Hysterectomies, if done for family planning only.
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