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[4:45:16 pm]: Thanks for contacting Health Insurance Marketplace Live Chat. Please wait while we connect you to someone who can help.
[4:45:19 pm]: Please be patient while we're helping other people.
[4:45:53 pm]: Please be patient while we're helping other people.
[4:46:06 pm]: Welcome! You're now connected to Health Insurance Marketplace Live Chat.
Thanks for contacting us. My name is Ronald. To protect your privacy, please don't provide any personal information, like Social Security Number, or any other sensitive medical or personal information.
[4:46:31 pm]: Ronald
How may I help you?
[4:47:14 pm]: CALLER
Hello. I'm wondering why female "sterilization procedures" are covered, but "services related to a man's reproductive capacity, like vasectomies" are not covered.
[4:48:14 pm]: Ronald
Thank you. One moment please while I look that up.
[4:52:02 pm]: Ronald
Plans in the Health Insurance Marketplace must cover contraceptive methods and counseling for all women, as prescribed by a health care provider. These plans must cover the services without charging a copayment, coinsurance, or deductible when they are provided by an in-network provider.
All Food and Drug Administration-approved contraceptive methods prescribed by a woman's doctor are covered in Marketplace plans. Some of the approved contraceptive methods include birth control pills, diaphragms, sponges, and intrauterine devices, also known as IUDs. Emergency contraception, such as Plan B and the prescription drug ella, are also included. Marketplace plans must cover sterilization procedures for women, as well as patient education and counseling.
Plans aren't required to cover drugs that induce abortions or services related to a man's ability to have children, such as vasectomies.
For more information about specific contraceptive services your plan covers, check your plan's materials or ask your employer or benefits administrator.
[4:53:16 pm]: Ronald
If your insurance plan is sponsored by certain exempt "religious employers," such as churches and other houses of worship, your plan does not have to cover contraceptive methods and counseling. If you work for an exempt religious employer and use contraceptive services, you may have to pay for them out-of-pocket.
For more information about specific contraceptive services your plan covers, check your plan's materials or ask your employer or benefits administrator.
[4:53:45 pm]: Ronald
Some nonprofit religious organizations do not have to pay for contraceptive coverage. However, if you receive insurance from a nonprofit religious organization, you will still have access to contraceptive services without a copayment, coinsurance, or deductible when they are provided by an in-network provider. In such cases, an insurer will make separate payments for the contraceptive services that you use.
For more information about specific contraceptive services your plan covers, check your plan's materials or ask your employer or benefits administrator.
[4:53:51 pm]: CALLER
That seems to violate the Equal Protection Clause of the Fourteenth Amendment because it treats men and women differently.
[4:54:29 pm]: Ronald
I apologize for the inconvenience.
[4:54:38 pm]: Ronald
Do you have any other questions that I can help you with?
[4:54:55 pm]: CALLER
You didn't answer my first question.
[5:00:40 pm]: Ronald
Thank you for your patience. I am still researching that information.
[5:03:34 pm]: Ronald
Plans aren't required to cover drugs that induce abortions or services related to a man's ability to have children, such as vasectomies.
[5:05:59 pm]: CALLER
Yes, I'm aware of that. Why are women's reproductive procedures covered, but men's procedures are not?