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Does texas healthy woman program count as health insurance

 
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HelenaC
New Member

Does texas healthy woman program count as health insurance

No, it appears that the Healthy Texas woman is not considered health insurance under the Affordable Care Act (ACA). See Health insurance that counts as coverage | HealthCare.gov or https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip/#limitedbenefits 

Plans or programs that don’t meet the Affordable Care Act (ACA) minimum requirement for health insurance are ones that are Limited individual plans:

  • Plans that offer only discounts on medical services
  • Plans that offer coverage only for a specific disease or condition
  • Plans that pay you a set amount if you are sick or in the hospital 

Healthy Texas Women provides a wide variety of women’s health and core family planning services but is a limited individual plan.

  • Pregnancy testing
  • Pelvic examinations
  • Sexually transmitted infection services
  • Breast and cervical cancer screenings
  • Clinical breast examination
  • Screening and treatment for cholesterol, diabetes and high blood pressure
  • HIV screening
  • Long-acting reversible contraceptives
  • Oral contraceptive pills
  • Permanent sterilization
  • Other contraceptive methods such as condoms, diaphragm, vaginal spermicide, and injections
  • Screening and treatment for postpartum depression

This program pays only for the services listed above. If a health problem such as cancer is found, you will be referred to a doctor or clinic that can treat you. If you are pregnant, you will be referred to a program such as Medicaid for Pregnant Women. You might have to pay for those extra services

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1 Reply
HelenaC
New Member

Does texas healthy woman program count as health insurance

No, it appears that the Healthy Texas woman is not considered health insurance under the Affordable Care Act (ACA). See Health insurance that counts as coverage | HealthCare.gov or https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip/#limitedbenefits 

Plans or programs that don’t meet the Affordable Care Act (ACA) minimum requirement for health insurance are ones that are Limited individual plans:

  • Plans that offer only discounts on medical services
  • Plans that offer coverage only for a specific disease or condition
  • Plans that pay you a set amount if you are sick or in the hospital 

Healthy Texas Women provides a wide variety of women’s health and core family planning services but is a limited individual plan.

  • Pregnancy testing
  • Pelvic examinations
  • Sexually transmitted infection services
  • Breast and cervical cancer screenings
  • Clinical breast examination
  • Screening and treatment for cholesterol, diabetes and high blood pressure
  • HIV screening
  • Long-acting reversible contraceptives
  • Oral contraceptive pills
  • Permanent sterilization
  • Other contraceptive methods such as condoms, diaphragm, vaginal spermicide, and injections
  • Screening and treatment for postpartum depression

This program pays only for the services listed above. If a health problem such as cancer is found, you will be referred to a doctor or clinic that can treat you. If you are pregnant, you will be referred to a program such as Medicaid for Pregnant Women. You might have to pay for those extra services

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