Welcome Federal Government Employee Member-Owners
Getting the most out of your health plan starts with understanding all the benefits included with your coverage. Keep reading to learn about your coverage details and how to get the most out of your health plan!
Reference Documents & Materials
If you are a FEHB provider or member, access the necessary documents for expedited contraceptives for the contraceptive exceptions process by visiting the Prescriber Portal on the Navitus website.
Contraceptive Coverage for Federal Employees
As a federal employee, you have exclusive access to comprehensive benefits designed to meet your diverse needs. Below is a table highlighting contraceptive coverage for your plan, affirming our commitment to your reproductive health and wellness.
To explore the full range of contraceptive options covered under your plan, including detailed eligibility information and how to access these benefits, please review the 2024 Federal Employee GHC-SCW Brochure.
We want to ensure you have the resources and support necessary to make informed decisions about your reproductive and sexual health care. Should you have any questions or require assistance, our Member Services Team is here to help. You can contact them at (608) 828-4853 or (800) 605-4327 during our regular business hours Monday through Friday from 8 a.m. to 5 p.m.
Benefit Description |
You Pay |
Preventive Care, Adult
Preventive care benefits for women such as Pap smears, gonorrhea prophylactic medication to protect newborns, annual counseling for sexually transmitted infections, contraceptive methods, and screening for interpersonal and domestic violence. For a complete list of preventive care benefits for women go to the Health and Human Services (HHS) website at https://www.healthcare.gov/preventive-care-women/ |
*Please review the 2024 Federal Employee GHC-SCW Brochure for coverage details. |
Family Planning
Note: We cover oral contraceptives under the prescription drug benefit.
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*Please review the 2024 Federal Employee GHC-SCW Brochure for coverage details. |
Covered Medications and Supplies
Contraceptive drugs and devices prescribed by a health care professional and obtained from a Plan pharmacy or through our mail order program. Contraceptive drugs and devices as listed in the ACA/HRSA site. Contraceptive coverage is available at no cost to FEHB members. The contraceptive benefit includes at least one option in all methods of contraception (as well as the screening, education, counseling, and follow-up care). Any contraceptive that is not already available without cost sharing on the formulary can be accessed through the Contraceptive Exceptions Process described below.
The “morning after pill” is considered preventive service under contraceptives, with no cost to the member if prescribed by a physician and purchased at a network pharmacy. The “morning after pill” should be addressed under the pharmacy benefit as an over-the counter (OTC) emergency contraceptive drug |
*Please review the 2024 Federal Employee GHC-SCW Brochure for coverage details. |