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Coverage Exclusions

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Ancillary

Health Net Medicare Advantage (MA) does not cover family planning services that may include counseling by a physician to determine the number and spacing of a member's children through birth control or fitting and insertion of birth control devices. Family planning services are not covered, based on Medicare's exclusion of "not reasonable and necessary," for the diagnosis or treatment of an illness or injury.

Non-prescription contraceptive supplies and devices are not covered.

Last Updated: 07/01/2024