CurrentAetnaPolicy N/A

Elective abortion coverage opt-out for Missouri residents

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

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

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

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.