Hidden Plan Exclusions May Leave Gaps In Women’s Care, Study Finds

Buried in the fine print of many marketplace health plan documents is language that allows them to refuse to cover a range of services, troche many of which disproportionately affect women, a recent study found.

It’s unclear the extent to which these coverage “exclusions” have prevented patients from getting needed treatments. An insurance industry representative said patients are generally able to get the care they need if it’s appropriate for them. Yet, some women with hereditary breast and ovarian cancer, advocates say, may have gaps in care because of the exclusions.

More broadly, experts said that the report provides a useful roadmap to potential coverage issues that may still need to be addressed, despite significant improvements following passage of the federal health law.

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