As the third open enrollment period winds down on the health insurance marketplaces, one thing hasn't changed much since the online exchanges opened: It's still often hard to find out whether a plan covers abortion services.
The health law requires insurers to say one way or the other, and they have gotten better about reporting abortion coverage details this year, advocates on both sides agree.
But the federal government has yet to put out final instructions on how insurers should handle the issue on their Summary of Benefits and Coverage overview. Lacking specific instructions about what to say and where to say it, many insurers have simply left the information out of the summary, advocates said.
That leaves consumers in a bind. "It's not easy to figure out whether a plan covers abortion and if it does, to what extent," says Kinsey Hasstedt, a public policy associate at the Guttmacher Institute, a reproductive health research organization that supports abortion rights.
The health law lets states decide whether marketplace plans can cover abortion services. Half of states ban abortion coverage to some extent, often limiting it to cases of rape, incest or if the mother's life is endangered, the standard the federal government uses for coverage in its employees' plans and for health care programs, such as Medicaid.
However, even in states that permit insurers to cover abortion beyond the limited exceptions, marketplace plans may not have that benefit.
The lack of easily accessible information makes it hard to know whether the number of plans that provide abortion services on the exchanges is increasing or decreasing.
Advocates on both sides of the issue have their eyes on multistate plans. To encourage competition, the health law called for at least two multistate plans to be offered on every state marketplace by 2017, at least one of which excluded abortion services. In subsequent guidance, the Office of Personnel Management, which administers the multistate program, said that multistate insurers had to offer at least one silver and one gold level plan that exclude abortion coverage starting this year.
But the number of states offering multistate plans dropped to 32 plus the District of Columbia in 2016, down from 35 last year.
In those states, most multistate plans don't cover abortion and the coverage information is easy to find, said Genevieve Plaster, a researcher at the Charlotte Lozier Institute, which opposes abortion rights. Of the 261 multi-state plans available in 2016, just four plans in two states — Connecticut and Alaska — provide abortion services, according to OPM.
However, abortion opponents said that because multistate plans aren't yet available in every state there's no guarantee consumers can find a plan that doesn't cover abortion, if that is their priority. In two states, Hawaii and Vermont, for example, all plans available cover abortion. Neither state has multistate plans.
Abortion rights supporters have a different beef with the multi-state plan program. They say it's not fair to require the marketplace to offer plans that exclude abortion without also requiring plans that include abortion coverage. They also take issue with the OPM's decision that insurers must offer two multistate plans that exclude abortion coverage, instead of the single one that the law requires.
OPM isn't considering any changes to the program at this time, a spokesman said.
In the meantime, advocates on both sides hope that the final instructions for the coverage summaries will make it easier for consumers to learn whether plans cover abortion.
Questions remain about where in the eight-page summary of benefits and coverage the information appears: Some advocates want it near the section that describes covered services "if you are pregnant," rather than under "excluded services and other covered services," as the federal government has proposed.
And advocates on all sides agree that the language describing abortion services needs to be clear and consistent rather than the mishmash of descriptions that appear in current documents, where it may be called "interruption of pregnancy" or "elective termination of a normal pregnancy," among other terms.
In a final regulation released last June (see page 34297-8), federal regulators said they would clarify requirements for the language and placement of abortion services in the coverage summary in the final template, which is scheduled to be finished in January.
"We're still waiting for that," said Gretchen Borchelt, vice president for health and reproductive rights at the National Women's Law Center.
The Centers for Medicare and Medicaid Services didn't respond to a request for information about when the new template would be released. The 2016 enrollment ends Jan. 31.
Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation. Michelle Andrews is on Twitter: @mandrews110.