ACA/Birth Control @ No Charge, Not Happening Al the Time

[yorkriver1]

Currently, the service department is researching my client's question about why their ACA compliant group coverage isn't paying for birth control pills with no copay. Good question.

This is a BCBS carrier. Any others have this?

 

[leevena]

ACA allows for copays, for example if the drug is a vrand when a generic is available. Group plans can also have copays if group is grandfathered, religious exemption, etc

 

[kgmom219]

The "birth control is free" under ACA has a ton of loopholes and the carriers have found them.

In general, if you are on a cheap BCP or its depo-provera, its free. Everything else, you are going to pay for.

 

[yorkriver1]

ACA allows for copays, for example if the drug is a vrand when a generic is available. Group plans can also have copays if group is grandfathered, religious exemption, etc

This is not a grandfathered group, so your info sounds about right. I saw an article in online Money mentioning the brand vs. generic issue for ACA compliant plans. No doubt it's something like that. I am going to re-read the article for their resolution, as the particular brand had no generic version. That may not matter in the rules.

Thanks to both of you for responding.