OAR 836-053-0435: Health Benefit Plan Coverage of Well-woman Preventive Care Services

Effective September 1, 2024, health benefit plan policies or certificates issued, renewed, modified or extended on or after September 1, 2024 must provide coverage without cost sharing for well-woman care services consistent with guidelines set forth by the United States Health Resources and Services Administration (HRSA) as of December 2022. (1) Health benefit plans must provide coverage without cost sharing for the thirteen (13) well-woman preventive services identified by HRSA. A list of these covered services can be found on the HRSA website at: https://www.hrsa.gov/womens-guidelines. (2) Carriers shall ensure that health benefit plans are consistent with current practice and form filing requirements found in OAR 836-010-0011(2).