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Pregnancy Termination

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)

Pregnancy terminations provided by a participating provider are covered on most plans.

Care for complications of pregnancy and abortions prescribed by a participating provider are covered on most plans.

Effective January 1, 2023, physicians and other providers cannot impose cost-sharing for abortion and abortion-related services in accordance with Senate Bill 245 (the Abortion Accessibility Act). To ensure coding accuracy, Health Net has put together a list of abortion-related diagnosis codes, ICD-10-CM Codes for Abortion-Related Services (PDF). Providers must bill applicable abortion and abortion-related diagnosis codes in the primary/principal position on the claim to comply with providing these services at no cost-share to members.

Last Updated: 07/01/2024