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MassHealth covers sterilization only when the procedure complies with 42 CFR 441, subpart F, and all other applicable federal and state regulations and subregulatory guidance.
Are vasectomies covered by MassHealth?
If the set amount for your yearly deductible has been docHubed, your medical insurance company is likely to pay for all or most of your vasectomy expenses. Masshealth (Medicaid) and other state programs also cover vasectomy.
What is covered under MassHealth standard?
Covered services Medical services: lab tests, X rays, therapies, pharmacy services, eyeglasses, hearing aids, medical equipment and supplies, adult day health, and adult foster care (For more information about choosing and enrolling in a Medicare prescription drug plan, see page 34.)
How much does it cost to get your tubes tied in Massachusetts?
The ACCESS law requires health insurance plans subject to MA law to cover female sterilization (tubal ligation) at no cost to the patient.
What states require spousal consent for sterilization?
Statutes in Georgia, North Carolina, and Virginia requie the written consent of the patients spouse to voluntary sterilizations. In the absence of such a statute, no definitive answer can be given. Every individual does have the right to consent to any lawful Medical treatment or procedure.
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What are the points of informed consent for sterilization?
To give informed consent to sterilization, the client must understand the following points: Temporary contraceptives also are available to the client, including long-acting reversible contraceptives. Voluntary sterilization is a surgical procedure. There are certain risks of the procedure as well as benefits.
How old do you have to be to get your tubes tied in Massachusetts?
To the best of my knowledge and belief, the individual to be sterilized is at least 21 years old and appears mentally competent. He or she knowingly and voluntarily requested to be sterilized and appeared to understand the nature and consequences of the procedure.
Do you have to have your husbands permission to get your tubes tied?
Legally no. No doctor can REQUIRE a husbands consent for any surgical procedure to which the woman can consent herself (as in, shes not unconscious or incapacitated in any way). But many doctors, even today, refuse to DO a tubal on a woman who is unmarried, under 30, or never had children.
What consent is required for sterilization?
The person obtaining the consent certifies that, by signing the sterilization consent form, they orally explained the requirements for informed consent and, to the best of their knowledge and belief, the member to be sterilized appeared mentally competent and knowingly and voluntarily consented to be sterilized.
Why aren t vasectomies covered?
What is the reason for that? Contraceptives, including sterilization, are covered only for women as preventive services by ACA-compliant plans. Since sterilization for men is not considered a preventive service under the Affordable Care Act, federal law does not require plans to cover vasectomies.
Related links
130 CMR 423.418 - Sterilization Services: Consent Form
(b) CS-21 - for members 21 years of age or older. (2) Under no circumstances will the MassHealth agency accept any other consent for sterilization form.
Notice: Your decision at any time not to be sterilized will not result in the withdrawal or withholding of any benefits provided by programs or projects.
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