Fidelis Auto-Enroll Research
After the collapse of Health Republic, thousands of New York residents were left without insurance. Of these consumers, 200,000 have yet to enroll in another plan. To mitigate this issue, the NY State of Health decided to auto-enroll consumers into Fidelis Care insurance company. Fidelis, which is catholic owned, is the next most popular insurer with premiums close in cost to premiums offered under Health Republic. Fidelis does not cover abortions and family planning services are administered through a separate company called Unified Life, LLC. With this change, many women will have to find new providers of family planning services because their current providers will no longer accept their coverage. Raising Women’s
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I stated, “I am calling on behalf of a friend who is being auto enrolled in Fidelis Care. I heard that there might be a change with contraceptive coverage. Can you tell me more about this?” The agent informed me that termination of pregnancy services were not available and family planning services are available through their Unified IPA network at 1-800-342-2641. The agent also explained that if a patient needs birth control for a medical necessity such as alleviating symptoms of menstruation, the provider can send a request to Fidelis …show more content…
20 out of the 169 providers were surveyed in Bronx County, 14 out of 73 providers were surveyed in Albany County, 15 out of 121 providers were surveyed in Erie County, 20 out of 328 providers were surveyed in Nassau County, and 2 out of the 2 providers were surveyed in St. Lawrence. Only one provider offered family planning services in St. Lawrence. It is important to note that some of the provider’s names did not necessary correspond to the number listed on the directory. On a few occasions, the receptionist would provide the correct number to call. Out of 71 providers surveyed in all, 27% offered family planning services. Other providers consisted of Radiology, Internal Medicine, Dermatology, Pulmonology, Dental, Urology, and
Planned Parenthood is an organization that provides healthcare and education to both men and women, having over 650 health centers that provide healthcare to countless communities around the world. Shockingly, 78% of those who use Planned Parenthoods services live at or below 150% of the federal poverty line, showing how important this organization is to low-income families (Topulos, Greene, Drazen). Their mission statement is “A Reason for Being”, which is shown through their efforts to provide health care, advocate public policies, create educational programs, and endorse research. There are those who do not believe Planned Parenthood should be funded by the government, though, due to the fact that they provide abortions to women in need. Studies show that the effects of not having Planned Parenthood available are disastrous, causing low-income families to lack a healthcare provider and the number of those who are infected with STD’s and STI’s to rise. The biggest concern communities have about the government defunding Planned Parenthood is the effects that it would have on low-income families who would no longer have access to something that many people take for granted: health care. Although many believe that Planned Parenthood mostly provides abortions, in reality, only 3% of the people that seek help from them receive an abortion, while 97% receive affordable and, in many cases,
Planned Parenthood Federation of America is a nonprofit organization that provides reproductive health services both for females and males. Services include screening for and treating sexually transmitted diseases, infections, and providing contraception. Another service they provide is abortions; although controversial in 2014 the organization reported that only 3% of their services were for abortions. The organization manages more than 820 health centers in the United States, Guatemala, Costa Rica, Peru, Nigeria, South Sudan, Senegal, Ethiopia, Burkina Faso, Sudan, Nicaragua, and Kenya. Planned Parenthood helps over five million patients a year: most of the patients are impoverished and more than a quarter of the patients are under the age of nineteen years old. According to a latest yearly report, the organization supplied around 860,000 screenings a year for breast and cervical cancer. They also issued nearly 4.5 million examinations and medical care for sexually transmitted diseases. Approximately one-third of its resources are supplied contraceptives. In particular, in its latest yearly report, Planned Parenthood stated that it supply’s knowledge of birth control and services to three million people annually. If Planned Parenthood is defunded there will be less convenience of contraceptives will mean additional undesired pregnancies and more abortions. Out of the three hundred and thirty of the countries, Planned Parenthood helps at least half of the patients who
Of the number of women who obtain contraception care at clinics, more than one-third of them use Planned Parenthood (Marcus). With the removal of these services, there would be a drastic increase in the number of unplanned pregnancies. Each year, Planned Parenthood prevents an estimated 516,000 unexpected pregnancies (Strickland). Not only would the number of unplanned pregnancies increase, but the awareness of sexual education would decrease, as Planned Parenthood provides sex education to 1.5 million people each year (Strickland). While it is easy to assume that women would be able to get access elsewhere, it is simply not feasible. The magnitude at which Planned Parenthood extends its services would not easily be matched. The inability to provide contraception to the women who would go unprovided would create a detrimental problem in the government that is trying to defund the
Many men and women in America don’t have insurance or simply cannot afford health care. Planned Parenthood does have professional doctors who specialized in many reproductive health services. Planned Parenthood is affordable, the program takes a patient whether they have insurance or not, not only that, they charge you by how much income you make. Low income Americans have access to these services too. “The United States Department of Health, Education and Welfare, for example, created a federal program to provide poor, married women with birth control. (Alan Guttmacher Institute)” “One in five American women have used the group’s services, and three out of four of its patients are considered to have low incomes. (Lynn M. Zott)” According
The outcomes of the situation after defunding Planned Parenthood show that the public program for reproductive health accessed 9% fewer women. In West Texas, women served by the public health program declined by 40% from 2011 to 2013 after Planned Parenthood closed two clinics in the area. Research shows that the state had a provider shortage and the other organizations providing these services were inadequate n absorbing the increased number of patients. Some users of injectable
The ACA was enacted to increase the affordability as well as the quality of health insurance for United States citizens nationwide. Specifically, some of its services include providing preventive services including contraception, abortion, STD screenings and related education and counseling.Since contraceptive regulations have been implemented in our society following the Affordable Care Act, over 100 nonprofit (mainly) religious organizations have challenged the contraceptive coverage requirement. These non profits claim that even the accommodation (for provision of contraceptives to employees) is morally wrong and burdens their religious
In 2010, family planning organizations were allocated $111 million and in the following year was slashed down to a meager $37.9 million, and over half of the state’s Planned Parenthoods lost all funding (White et al., 2015). Subsequently, 25% of existing clinics shut down, and those who managed to keep their doors open had to cut back their hours by 30% (White et al., 2015). Beforehand, clinics were able to offer a sliding scale on payments based off of income, but now due to the lack of funds, they cannot afford to pay the remaining balance for these women in need (White et al., 2015). In tandem, Planned Parenthood is no longer eligible for discount drug pricing and as a result contraceptives have skyrocketed in price, and now they have to judge and decide which patients have the greatest need and are thereby receive more of an allotment (White et al., 2015). As a direct result of raised prices, White et al. (2015) reports that some clinics faced up to a 92% decrease in patients and predicts that pregnancy and STD rates will rise, and state Medicaid costs will soon
In Tennessee alone, we are once again facing an obstacle under the umbrella of healthcare coverage. In 2017, 3 regions in the state of Tennessee will lose coverage from BlueCross BlueShield of Tennessee (BlueCross BlueShield of Tennessee, 2016). It will leave 100,000 individuals looking for coverage through other marketplace plan providers. BlueCross BlueShield of Tennessee stated that they had to pull out of Obamacare in these three regions due to profit losses over the last 3 years (BCBST, 2016). It may seem simple enough to others that these individuals just go get another plan from someone else. We must first consider affordability. Will Cigna and Humana offer plans that are similar to the BlueCross BlueShield of Tennessee plans? Will consumers have nearly the same or the same benefits as before? There are many different changes that may occur by simply changing insurance plans. The consumers may not be able to have the same providers. They may not have the same medication coverage as before. The deductible could change and make the policy invaluable to the individual based on their needs. Obtaining coverage has been an ongoing uphill battle for some. Our state and federal legislators all share different views on healthcare issues. The Healthcare Reform Act of 2010 brought
A consensus has been made by those following the course of bill that latest healthcare proposal is possibly the worst attempt at repealing the Affordable Care Act with a heightened disposition for women. The funding for Planned Parenthood would be zeroed out under the new bill and Dawn Laguens, executive vice president at Planned Parenthood Federation of America, had this to say in a statement; “It blocks women from getting preventive care at Planned Parenthood. It slashes Medicaid, which 1 in 5 women of reproductive age rely on for care, including birth control and cancer
Thesis: Planned Parenthood has been seen as a place where abortions are the only services that women get, However Planned Parenthood offers women, STD testing, birth control and two types of abortion with total confidence. Planned Parenthood offers all the health services to patients that the say and should keep being funded.
Making health care more accessible and affordable is one of the most important issues facing our country. Planned Parenthood’s health centers are an integral part of health care safety net. Many women, including the majority of Planned Parenthood patients, do not have a general practitioner and rely on their reproductive health care provider as their primary source of health care. Through this relationship, women have access to a broad range of reproductive health care services that promote and protect their general health and well-being.
A difficult dilemma exists today in the American healthcare system concerning the rights of healthcare and religious institutions, universities with religious affiliation, and private business owners who refuse to provide insurance that covers abortion related services and or medications pertaining to such services. This quandary also encompasses individual practitioners such as physicians and nurses who refuse to participate in this practice. The Affordable Care Act (ACA) now requires contraceptive coverage, and contraceptive counseling for those businesses and practitioners who participate in the Health Insurance Marketplace, (HealthCare.gov, 2016), and in some states, the ACA also requires that
The refusal of some health insurers to include contraceptives as a part of an insurance plan for women is one of the most contentious disagreements in the health insurance industry. Insurance plans today cover a variety of prescription drugs, however some still do not approve of prescription contraceptive drugs and devices. More than half of U.S. states insurance policies require that other prescription drugs along with the FDA approved contraceptive drugs and devices be included on their health care plans, as well as any related medical services. These services entitle, annual visits for womens recommended preventive care and services. Although depending on individual state policies, some states allow employers or insurers to refuse
Recommendations on women’s preventive health care, including contraception, have been developed by a panel of the Institute of Medicine (IOM) after the reforms were enacted and became binding for many plans. There is need to prioritize the aspect of guidance from the government to the insurers concerning the plans owing to the complexity of reproductive health matters including on preventive matters. Preventive services requirements include a wide array of services beyond contraceptive care that are central to the sexual and reproductive health of women but the biggest challenge is how much the public will learn about other preventive care services that these same plans must also cover without patient cost-sharing. Reproductive health isn’t all about treatment. Prevention, counseling, and checkups matter as well, and they should be covered comprehensively by sealing all the loopholes that insurance plans
There is a correlation between provider bias with unmet need of KB, and external variables related to unmet need of family planning are husband, education and work support. The proportion of respondents experiencing information bias and service from the family planning provider (after involving external variables) is 1.3 times more biased in information and services than the KB provider, the greater the provider's bias in affecting unmet need of KB by