Prescription contraceptives must be covered

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Prescription Contraceptives Must Be Covered


Overview


Susan, a patient at Lenox Hill Hospital in New York City, faced a challenge that many women encounter: her employer-provided insurance did not cover prescription contraceptives.

The Issue


Susan had to pay for contraceptives out-of-pocket, despite her insurance covering other prescription drugs and preventive care. Frustrated, she requested the hospital to include contraceptives in their insurance coverage, but they refused. Seeking justice, Susan contacted the National Women’s Law Center (NWLC) in Washington, D.C.

Legal Intervention


NWLC attorneys intervened, informing the hospital that denying coverage for contraceptives while covering other prescription drugs was illegal under both federal and state anti-discrimination laws. Consequently, Lenox Hill Hospital complied with the law and changed their policy.

Broader Implications


Beyond these laws, 20 states have enacted legislation requiring insurance companies to cover prescription contraceptives if they cover other prescription drugs. To aid women in navigating these laws, NWLC has published "Contraceptive Equity Laws in Your State: Know Your Rights-Use Your Rights." This guide outlines key legal provisions, complaint processes, and provides contact information for state insurance departments.

Importance of Access


Access to contraception is crucial for women’s health care. “It's essential for women to know their rights and how new laws support their access to prescription contraceptives,” states Judith C. Appelbaum, NWLC vice president and legal director. Women are encouraged to exercise their rights with NWLC’s support.

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