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Some D.C. Exchange Plans Cover Elective Abortion but Not Hearing Aids

Posted by on Nov. 20, 2013 at 4:46 AM
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Some D.C. Exchange Plans Cover Elective Abortion but Not Hearing Aids


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Multiple individual plans available on the D.C. health-insurance exchange specifically cover elective abortion but not hearing aids, routine foot-care, and routine eye-care. One such plan, Healthy Blue PPO $1500, has a summary on the D.C. exchange’s website titled “Excluded Services & Other Covered Services.” It says enrollees can receive coverage for abortions performed for non-medical reasons, but not for a number of other services that could seem medically necessary. The plan also excludes coverage for some other procedures, including cosmetic surgery, bariatric surgery, and infertility treatment.

Per Anna Higgins of the Family Research Council, in D.C. Aetna plans and multi-state plans run by the Office of Personnel Management and offered by Blue Cross Blue Shield specifically don’t offer elective abortion coverage. All the other plans offered in the District do cover elective abortion. When she wrote about the issue in October for TownHall, representatives from the D.C. exchange told her that plans were required to cover abortion because it was an “essential benefit.” That’s incorrect, however, and the exchange later retracted the statement. The Affordable Care Act specifically states that abortion is not an essential benefit, so not all plans cover the procedure.

Over the last few weeks, many congressional Democrats offered heated criticism of plans that don’t cover comprehensive coverage of all health services, arguing that the millions of Americans whose coverage is being canceled shouldn’t be allowed to stay on “junk plans.”

A number of other plans in D.C. that cover elective abortion don’t cover things such as hearing aids, routine foot-care, and routine eye-care. For instance, CD BChoice HSA Br 6000 includes elective-abortion coverage but excludes coverage for hearing aids, infertility treatment, and routine foot-care. And the Kaiser Permanente KP DC Bronze 4500/50/HSA/Dental/PedDental covers elective abortion but not routine foot-care, hearing aids, and infertility treatment. The KP DC 5000/30%/HSA/Dental/PedDental also covers elective abortion but not hearing aids, routine foot-care, and infertility care.

by on Nov. 20, 2013 at 4:46 AM
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Replies (1-5):
Analeigh2012
by Silver Member on Nov. 20, 2013 at 8:35 AM
I bet the routine foot care is about diabetics. As for hearing aids and eye care - it is sad that many plans exclude basic medical devices or vision / dental. And the infertility services has been my biggest pet peeve - even through my employer sponsored plan - I lost that benefit so pregnancy terminating drugs and free birth control could be covered. It's all just sideways.
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blondekosmic15
by Blonde on Nov. 20, 2013 at 10:06 AM


Quoting Analeigh2012:

I bet the routine foot care is about diabetics. As for hearing aids and eye care - it is sad that many plans exclude basic medical devices or vision / dental. And the infertility services has been my biggest pet peeve - even through my employer sponsored plan - I lost that benefit so pregnancy terminating drugs and free birth control could be covered. It's all just sideways.

Leaves many of us shaking our heads in terms of priorities & moral responsibility. Very sad when taking the life of an unborn child trumps a person's basic need to hear & use one of our 5 senses~

4kidz916
by Gold Member on Nov. 20, 2013 at 10:58 AM

I agree and I think infertility treatment is a very important service to cover. 

Quoting Analeigh2012:

I bet the routine foot care is about diabetics. As for hearing aids and eye care - it is sad that many plans exclude basic medical devices or vision / dental. And the infertility services has been my biggest pet peeve - even through my employer sponsored plan - I lost that benefit so pregnancy terminating drugs and free birth control could be covered. It's all just sideways.


Analeigh2012
by Silver Member on Nov. 20, 2013 at 12:14 PM
1 mom liked this
I think if we want comprehensive plans, then all services should be covered - not just those cherry-picked by one political party to satisfy a select few. Why should one woman's desire to end a pregnancy trump another woman's desire to have a baby?? Granted, being infertile, that is a service I use so promoting that as a benefit is self-serving... But unlike my counter parts on the left, I pay for medical services I use regardless of my insurance - I don't rely on insurance to get the healthcare I want or need. I have insurance because my employer sponsors it and I would be crazy not to take advantage of it. But I don't rely on it.

Quoting 4kidz916:

I agree and I think infertility treatment is a very important service to cover. 

Quoting Analeigh2012:

I bet the routine foot care is about diabetics. As for hearing aids and eye care - it is sad that many plans exclude basic medical devices or vision / dental. And the infertility services has been my biggest pet peeve - even through my employer sponsored plan - I lost that benefit so pregnancy terminating drugs and free birth control could be covered. It's all just sideways.


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Analeigh2012
by Silver Member on Nov. 20, 2013 at 12:22 PM
1 mom liked this
And diabetic foot health is critical - they could lose their feet in some cases.... Seems as though this should fall under preventative care.
None if it makes sense to me at all.


Quoting blondekosmic15:


Quoting Analeigh2012:

I bet the routine foot care is about diabetics. As for hearing aids and eye care - it is sad that many plans exclude basic medical devices or vision / dental. And the infertility services has been my biggest pet peeve - even through my employer sponsored plan - I lost that benefit so pregnancy terminating drugs and free birth control could be covered. It's all just sideways.

Leaves many of us shaking our heads in terms of priorities & moral responsibility. Very sad when taking the life of an unborn child trumps a person's basic need to hear & use one of our 5 senses~

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