Separate Invoices for Abortion Coverage Begin in June

New rule by HHS.
January 22, 2020

Under a new U.S. Department of Health and Human Services (HHS) rule, health insurers will be required to issue a separate invoice for the premium amount they attribute to abortion services, meaning policyholders who bought insurance on an ACA state exchange will receive one bill for abortion services and another for the remainder of their coverage.

Insurers argue the changes create huge burdens for them, such as changes to billing software, managing double the payments, and handling customer confusion. HHS indicates the total cost to insurers, exchanges, and enrollees could reach $546.1 million in 2020 but stabilize at $232.1 million in 2021, $230.7 million in 2022, and $229.3 million in 2023 and subsequent years. Those costs will inevitably be passed on to consumers, through an increase in premiums, deductibles, or co-pays or changes to coverage and doctor networks. There also are concerns that people could lose coverage if they get confused and do not pay both bills.

Navigate in this section: