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ACA FAQs Address Coverage of Preventive Services
The Wagner Law GroupLink to more items from this source
[Guidance Overview]
May 21, 2015

"FAQ XXVI clarifies that if a provider recommends a particular type [of contraception] as medically necessary for an individual, the group health plan must defer to the professional's determination. Medical necessity considerations include the severity of side effects, differences in permanence and reversibility of contraceptives, and an individual's ability to appropriately use the item or service."

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