Dec 21, 2022
Anthem health plan cost share changes for abortion and home STD test kits
All Anthem fully insured Small and Large Group health plans in California will cover abortion and abortion-related services with no cost sharing (except as noted below) as well as home test kits for sexually transmitted diseases (STDs). Anthem self-funded health plans in California may choose to provide this coverage.
Abortion Services
Benefits include all abortion and abortion-related services, including pre-abortion and follow-up services effective upon renewal on or after January 1, 2023. Precertification is not required for outpatient abortion services. Covered services are not subject to the deductible, copayment, or coinsurance. However, a deductible will apply to plans defined as high deductible health plans under federal law.
Home STD test kits
Benefits include home test kits for STDs, including any laboratory processing costs, as part of your renewal on or after January 1, 2022.
The test must be deemed medically necessary or appropriate and ordered directly by a clinician, or furnished through a standing order for patient use based on clinical guidelines and individual patient health needs, when ordered by an in-network provider.
Please contact your Anthem representative for more information.