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    v1.0.30
    OpenPayerPolicy UpdatesAdministrative/Operational PolicyAetna elective abortion opt-out Coverage | OpenPay…
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    CurrentAetnaPolicy N/A

    Elective abortion coverage opt-out for Missouri residents

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    Explains Missouri residents' right to opt out of elective abortion coverage if it conflicts with their moral, ethical, or religious beliefs; instructs enrollees to contact their plan sponsor/employer and elect the exclusion during annual enrollment. Applies to Missouri residents with Aetna group coverage.

    Policy Summary
    PayerAetna
    PolicyElective abortion coverage opt-out for Missouri residents
    Policy CodePolicy N/A
    Change TypeNo material changes
    Effective DateN/A
    Next Review DateN/A
    Key ActionIf you want to exclude elective abortion coverage, contact your plan sponsor/employer and elect the exclusion during annual enrollment.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    Missouriapplicable state
    1optional rider not purchased
    annual enrollmenttime to request exclusion

    Elective Abortion Coverage Opt-Out Criteria

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Elective abortion coverage opt-out criteria

    Covered when ALL of the following are met:

    ALL of the following

    • Missouri residency

      • Member is a resident of Missouri.

    • Plan coverage and member right

      • Member is enrolled in a group health plan that includes coverage for elective abortions.
      • Member has a moral, ethical, or religious belief that makes elective abortion coverage contrary to their beliefs.

    • Opt-out action

      • If the plan covers elective abortions, the enrollee must contact their plan sponsor/employer and elect to exclude the benefit during their annual enrollment period.

    • Verify coverage note

      • If unsure whether elective abortion is covered by the plan, call the number on the member's ID card to confirm plan benefits.

    • Rider not purchased

      • An optional rider for elective abortion has not been purchased by the group contract holder pursuant to VAMS section 376.805; however, elective abortion coverage may still apply by state law or plan sponsor benefit elections.
    ref
    title

    What Enrollees and Providers Must Do

    Prior Authorization

    Opt out during annual enrollment

    If the plan covers elective abortions and the enrollee wants to exclude this benefit based on moral, ethical, or religious beliefs, the enrollee must contact their plan sponsor/employer and elect the exclusion during the annual enrollment period.

    • Contact your plan sponsor/employer to request exclusion
    • Request the exclusion during your annual enrollment period
    Note

    Verify coverage via member ID

    If you are unsure whether the enrollee’s plan includes elective abortion coverage, call the member services number printed on the member ID card to verify benefits.

    Definitions and Rights

    Right to exclude elective abortion coverage
    Right to exclude elective abortion coverageMissouri residents enrolled in group plans that include elective abortion coverage have the right to opt out and not pay for that coverage if it is contrary to their moral, ethical, or religious beliefs.
    How to exercise the rightEnrollees must contact their plan sponsor/employer and elect the exclusion during the annual enrollment period.
    Confirmation of coverageIf unsure whether elective abortion is covered, enrollees should call the number on their ID card to confirm plan benefits.
    ApplicabilityApplies to Missouri residents with Aetna group coverage; if the group contract holder did not purchase an optional rider for elective abortion per VAMS §376.805, the rider is not in force for that group.
    Policy Summary
    PayerAetna
    PolicyElective abortion coverage opt-out for Missouri residents
    Policy CodePolicy N/A
    Change TypeNo material changes
    Effective DateN/A
    Next Review DateN/A
    Key ActionIf you want to exclude elective abortion coverage, contact your plan sponsor/employer and elect the exclusion during annual enrollment.
    SourceLink
    On This Page
    Elective Abortion Coverage Opt-Out CriteriaWhat Enrollees and Providers Must DoDefinitions and Rights