Affordable Care Act and Preventative Service Fees at UHS-University Health Services - Carnegie Mellon University

Friday, August 10, 2012

Affordable Care Act and Preventative Service Fees at UHS

The Affordable Care Act, the health insurance reform legislation passed by Congress and signed by President Obama on March 23, 2010,  requires health insurance plans to cover certain women’s health services and preventive care at no cost to the patient effective August 1, 2012.  The effective date of these benefits may vary for some plans. Students enrolled in their parent’s plans or other acceptable insurance plans should check with their carrier regarding coverage for these services.   The effective date of these benefits for students enrolled in the student health insurance plan offered by Carnegie Mellon University through Highmark Blue Cross Blue Shield (BCBS) is August 1, 2012.  Therefore, all students enrolled in the student health insurance plan are entitled to the preventive benefits listed below at no cost to the student, subject to certain age and gender requirements. If you are enrolled in the student health insurance plan, you should check the Highmark Blue Cross Blue Shield Preventive Schedule for additional information regarding these preventive health services.

The following changes have been made to the fees for women and preventive services offered through University Health Services (UHS) effective August 1, 2012:

  • Annual wellness exams for men and women will be offered free of charge to all students regardless of insurance coverage.
  • Students covered on the student health insurance plan will no longer pay a copay for contraceptives.
  • Females who are prescribed contraceptives and are not on the student health insurance plan but have other coverage can request a prescription from the UHS provider and have their contraception filled by a community pharmacy.  Students can still opt to buy the contraception from UHS.  In the case of DepoProvera, UHS providers will administer the injection. 

Students who are not on the student insurance plan can still elect to receive the services listed below at UHS by paying for those services themselves, filing a claim with their private insurance, or in some cases (like lab work) having their insurance billed directly by the lab.

If you are unclear about whether your insurance covers these services at no cost to you, you should contact your insurance company.  A UHS staff member will be happy to assist you with any questions you may have.

The following women’s health services are covered by health care plans at no cost to the patient when provided to women:

  • Well woman visits
  • Human papillomavirus testing
  • Counseling for sexually transmitted diseases
  • Counseling and screening for human immune-deficiency virus
  • Contraceptive methods and counseling, as prescribed 
  • Screening and counseling for interpersonal and domestic violence
  • Screening for gestational diabetes
  • Breastfeeding support, supplies and counseling

The following immunizations are covered by health care plans at no cost to the patient:

Children 0 through 18 years

  • Diptheria, Tetanus, Pertussis
  • Haemophilus influenza type b
  • Hepatitus A and B
  • Quadrivalent Human Papillomavirus vaccine for females
  • Inactivated Poliovirus
  • Influenza
  • Measles, Mumps, Rubella
  • Meningococcal
  • Rotavirus
  • Varicella (chicken pox)

Adults 19 years and older

  • Hepatitis A and B
  • Herpes Zoster
  • Quadrivalent Human Papillomavirus vaccine for females
  • Influenza
  • Measles, Mumps, Rubella
  • Meningococcal
  • Pneumococcal
  • Tetanus, Diphtheria, Pertussis
  • Varicella (chicken pox)