Abortion In Obamacare

Oregon


Names of Insurance Carriers and Their Elective-Abortion Coverage:

  1. Bridge Span Health Company (15):  All plans cover elective abortion (2020 plan documents).
  2. Kaiser Permanente (10): All plans cover elective abortion (2020 plan documents).
  3. Moda Health Plan, Inc. (12): All plans cover elective abortion (2020 plan documents).*
  4. PacificSource Health Plans (18): All plans cover elective abortion (2020 plan documents).
  5. Providence Health Plan (11): No plans cover elective abortion (2020 plan documents).

Summary:  There are 66 Individual plans offered by 5 insurance carriers for 2020 in Oregon. 

In 2020, 83% of Individual and Family plans cover elective abortion on the Oregon exchange; up 1% from 2019.

In August 2017, Oregon enacted HB 3391, a law that forces all health benefit plans offered in the state to cover elective abortion with no cost-sharing (no co-pay or deductible). The law has one exemption for an insurer that “excluded coverage for abortion in all of its individual, small employer and large employer group plans during the 2017 plan year.” The only insurer that qualifies for this exemption is Providence, which continues to exclude abortion coverage from its 2020 plans. The law also has a narrow religious exemption: “An insurer may offer to a religious employer a health benefit plan that does not include coverage for contraceptives or abortion procedures that are contrary to the religious employer’s religious tenet.” The insurer may provide such a plan “only if the insurer notifies in writing all employees who may be enrolled in the health benefit plan of the contraceptives and procedures the employer refuses to cover for religious reasons.”

*One of the 2020 Moda Health Plans’ Summary of Benefits and Coverage plan documents specifies in the “If you are pregnant” benefits section: “Includes elective abortion services rendered by a licensed and certified professional provider.” (Plan name: Moda Health Beacon Bronze HSA 6000) The remaining 11 Moda plans state in the “If you are pregnant” benefits section: “In-network elective abortion is covered at no cost sharing."

In 2018, 88% of Individual/Family plans on the Oregon exchange covered elective abortion.

In 2017, 76% of plans covered elective abortion. In 2016, 81% of plans covered elective abortion, and in 2015, 94% of plans. 

***

Exchange is part of the Federally-Facilitated Marketplace (F) or State-Run (S): State-based using Federal website

Website: www.healthcare.gov

State Exchange Elective Abortion Opt-Out: No

Number of 2020 Insurance Carriers: 5

    • Total Number of Plans: 66
    • Number of Plans that Cover Elective Abortion: 55
    • Number of Plans that Do Not Cover Elective Abortion: 11

 

  • Number of Plans with Unknown Coverage: 0

 

 

Key:

Red= Covers elective abortion

Orange= Some plans cover elective abortion/Unknown

Green= Does not cover elective abortion

*Bold denotes that this Insurance Carrier is new to the 2020 Marketplace

 

OREGON NEWS

General news regarding abortion coverage in Obamacare can be found here