Common use of Family Planning Clause in Contracts

Family Planning. All U.S. Food and Drug Administration (“FDA”) approved contraceptive methods are covered by this plan. FDA- approved contraceptive services provided in the office or outpatient setting, such as intrauterine devices (IUDs) and subdermal implants, including the insertion and removal, and voluntary sterilization procedures, including vasectomy and tubal ligation, are covered under the Family Planning benefit with no Cost-Sharing when provided by In-Network providers. Contraceptive methods that require a prescription, including oral contraceptives, transdermal patches, the vaginal ring, Medroxyprogesterone injections and emergency contraceptives, are covered under the Prescription Drug benefit and located in the Formulary. FDA-approved over-the-counter contraceptive products for women, such as sponges and spermicides, are covered under the Prescription Drug benefit only when prescribed by a qualified Provider. Voluntary termination of pregnancy is covered for female Members of this plan. Genetic testing, counseling, interventions, therapy and other genetic services are covered when determined to be Medically Necessary care or treatment of a covered condition, or a Medically Necessary precursor to obtaining prompt treatment of a covered condition. This benefit does not include genetic testing of a child’s father as a part of prenatal or newborn care.