Insurance Coverage for Abortion in Oregon

1. What is the limitation on private insurance coverage for abortion services in Oregon?


In Oregon, private insurance companies are not required to cover abortion services. However, some private insurance plans may cover some or all abortion services depending on the plan. In addition, if a patient’s life is in danger due to the pregnancy, most insurance policies will cover the cost of an abortion.

2. Does Oregon require insurance companies to offer abortion coverage in their plans?


No, Oregon does not require insurance companies to offer abortion coverage in their plans. However, the state does allow for insurance companies to offer voluntary coverage of abortion services. Additionally, certain public and private health plans in Oregon are required to cover abortions that are medically necessary, or those resulting from rape or incest.

3. What is the Medicaid coverage for abortion services in Oregon?


In Oregon, Medicaid covers abortion services when they are medically necessary or when the pregnancy is the result of rape or incest. In addition, Medicaid covers abortion services for individuals under the age of 21.

4. Does Oregon fund abortion services through its Medicaid program?


Yes, Oregon funds abortion services through its Medicaid program.

5. Does Oregon have any laws or regulations that restrict insurance coverage for abortions?


Yes, Oregon does have restrictions on insurance coverage for abortions. Private insurance companies are not required to cover abortions, but some do. Medicaid and the Oregon Health Plan do cover abortions for qualifying low-income Oregonians, though certain restrictions may apply.

6. Does Oregon provide any type of financial assistance for individuals seeking abortion services?


Yes. The Oregon Health Authority administers a program called the Abortion Access Program, which provides financial assistance to individuals seeking abortion services. The program helps cover the costs of the abortion, including associated medical services and counseling. Eligibility requirements and other details can be found on the Oregon Health Authority website.

7. What is Oregon’s policy on insurance coverage of abortions for state employees?


Oregon has a policy of providing coverage for abortion services to state employees and their dependents, under the terms and conditions of their health plan. The state’s policy is in accordance with the Oregon Health Plan, its state-funded program of health insurance for low-income individuals and families. According to the Department of Consumer and Business Services: “Oregon state health plans cover medically necessary abortion services when prescribed by a physician. Coverage is available for all plan members, including dependents.”

8. Does Oregon recognize certain circumstances in which insurance companies must cover the cost of abortions?


Yes, Oregon recognizes certain circumstances in which insurance companies must cover the cost of abortions. Specifically, insurance companies must cover the cost of abortions if the procedure is medically necessary or if the pregnancy is the result of rape or incest. Additionally, Oregon law requires employers to provide insurance coverage for abortions if they offer health coverage to their employees.

9. Is there any state law or regulation in Oregon that allows insurance companies to deny coverage for abortion services?


Yes, Oregon has a law that allows insurance companies to deny coverage for abortion services. The law, ORS 743.732, states that insurance companies can refuse to provide coverage for abortions if the policyholder or insured person objects to such coverage on religious or moral grounds. Additionally, the law specifies that any policies sold on the Oregon Health Insurance Exchange must also exclude coverage for abortions unless the purchaser specifically requests it.

10. Does Oregon have any laws or regulations that limit an insurance company’s ability to provide abortion coverage?


Yes, Oregon has several laws and regulations that limit an insurance company’s ability to provide abortion coverage. For example, Oregon requires that any health insurance policy that covers maternity care must also cover abortion services. In addition, Oregon law prohibits any health insurer from discriminating against individuals who obtain or seek abortions. Finally, Oregon regulations require that insurers must provide abortion coverage to enrollees in all of their health plans, regardless of whether the plan is offered in the individual or group market.

11. How much of the cost of abortion services does a private insurance plan typically cover in Oregon?


Most private insurance plans in Oregon do not cover the cost of abortions. However, Oregon’s Medicaid plan, the Oregon Health Plan, covers medically necessary abortions for eligible individuals.

12. Are there any restrictions imposed by Oregon on private insurance coverage for abortion services obtained out-of-state?


No, Oregon does not have any restrictions on private insurance coverage for abortion services obtained out-of-state.

13. Does Oregon provide any protection from discrimination for individuals who have insurance coverage for abortions?


Yes, Oregon does provide protection from discrimination for individuals who have insurance coverage for abortions. Oregon law prohibits health insurers from denying or limiting coverage of specific medical services, including abortion, on the basis of the patient’s sex. Additionally, Oregon’s Reproductive Health Equity Act requires certain health plans to cover abortion services without cost sharing.

14. Does the Affordable Care Act require private health insurance plans to provide coverage for abortions in Oregon?


No, the Affordable Care Act does not require private health insurance plans to provide coverage for abortions in Oregon. However, Oregon law does require insurance carriers to offer optional coverage for abortions in any comprehensive health insurance plan. The state also requires private health plans to cover abortions when medically necessary.

15. Are there any restrictions imposed by Oregon on private health insurance companies that provide coverage for abortions?


Yes. Oregon law requires health plans to provide coverage for abortions, but some plans may impose certain restrictions or exclusions on coverage. These restrictions must be disclosed in the plan’s description of services. The restrictions may include, but are not limited to: requiring prior authorization for an abortion, limiting covered services to medically necessary abortions only, and limiting coverage for abortions to those performed in a hospital setting.

16. Does Oregon require health insurers to cover all or part of the cost of abortion services when medically necessary?


Yes. Oregon requires health insurers to cover all medically necessary abortions, as long as they are performed within the state. Also, all Oregon health plans are required to include coverage for abortion services for enrollees. The Oregon Health Authority may also reimburse providers for abortions if the service is medically necessary.

17. Does Oregon’s Medicaid program cover all or part of the cost of abortion services when medically necessary?


Oregon’s Medicaid program covers all or part of the cost of abortion services when medically necessary. In order to be eligible for coverage, the service must be provided by a qualified medical provider and must meet specific eligibility criteria.

18. Are there any exemptions from Oregon’s restrictions on private health insurance coverage for abortions when medically necessary?


Yes. As of 2019, the state of Oregon allows exemptions from restrictions on private health insurance coverage for abortions when medically necessary in the following circumstances: the pregnancy is a result of rape or incest, the woman’s life is in danger, and/or there is a substantial risk to the woman’s physical health. Additionally, public funds are available to cover the costs of abortion procedures in the cases of rape, incest, or when the woman’s life is endangered.

19. What is the state law regarding informed consent and parental notification prior to an abortion in Oregon?


In Oregon, a minor must obtain consent from a parent or guardian to receive an abortion, unless they qualify for an exception. The parent or guardian must receive information about the procedure, risk factors, and alternatives to the procedure, and they must give written consent before the procedure can be performed. If the minor does not qualify for an exception and is unable to obtain parental consent, they may petition the court for a waiver of the parental consent requirement.

20. Are there any state-level programs available to assist individuals seeking an abortion in Oregon who are unable to pay out-of-pocket expenses?


Yes, the Oregon Health Plan (OHP) provides coverage of abortion services for eligible individuals. The Oregon Health Authority also operates a Family Planning Program, which provides low-cost contraception and abortion services for individuals who are not eligible for OHP coverage.