Coverage Scorecards
Coverage Scorecard - Commercial
The Coalition for Access to Prenatal Screening (CAPS) believes cf-DNA noninvasive prenatal screening (NIPS) should be available to all women. CAPS works to eliminate the commercial insurance disparity gap so that all women, regardless of risk factor, have access to NIPS. Many commercial plans offer this benefit to all pregnant women; however unfortunately several leading national plans only cover this screening for those considered "high risk."*
| ✓ Covers NIPS for All Pregnant Women |
|---|
| 1199 SEIU |
| Aetna, Inc. |
| AmeriHealth |
| Anthem Inc. |
| Aspirus Arise Health Plan |
| AvMed |
| Baystate Health System |
| BCBS Health Advantage |
| BCBS - Kansas City |
| Blue Cross and Blue Shield of Florida, Inc. |
| Blue Cross and Blue Shield of Alabama |
| Blue Cross Blue Shield /Anthem Indiana |
| Blue Cross Blue Shield /Anthem Kentucky |
| Blue Cross Blue Shield /Anthem Maine |
| Blue Cross Blue Shield /Anthem Missouri |
| Blue Cross Blue Shield /Anthem Ohio |
| Blue Cross Blue Shield /Anthem Virginia |
| Blue Cross Blue Shield /Anthem Wisconsin |
| Blue Cross Blue Shield Arizona |
| Blue Cross Blue Shield Arkansas |
| Blue Cross Blue Shield Connecticut |
| Blue Cross Blue Shield Empire (New York) |
| Blue Cross Blue Shield Federal Employee Health Plan |
| Blue Cross Blue Shield Georgia |
| Blue Cross Blue Shield Illinois |
| Blue Cross Blue Shield Kansas |
| Blue Cross Blue Shield Mississippi |
| Blue Cross Blue Shield Montana |
| Blue Cross Blue Shield Nebraska |
| Blue Cross Blue Shield Nevada |
| Blue Cross Blue Shield New Hampshire |
| Blue Cross Blue Shield New Jersey |
| Blue Cross Blue Shield New Mexico |
| Blue Cross Blue Shield North Carolina |
| Blue Cross Blue Shield Oklahoma |
| Blue Cross Blue Shield Rhode Island |
| Blue Cross Blue Shield South Carolina |
| Blue Cross Blue Shield Texas |
| Blue Cross Blue Shield of Louisiana |
| Blue Cross Blue Shield of Massachusetts |
| Blue Cross Blue Shield of Michigan |
| Blue Cross Blue Shield of Minnesota |
| Blue Cross Blue Shield of North Dakota |
| Blue Cross Blue Shield of Tennessee |
| Blue Cross Blue Shield of Western New York |
| Blue Cross Blue Shield Wyoming |
| BlueCross Idaho |
| Blue Shield of California |
| Boston Medical Center |
| Cambia Health Solutions |
| Capital Blue |
| Capital Blue Cross |
| CareFirst |
| CareFirst BlueCross BlueShield |
| CareSource |
| CDPHP |
| Centene Corporation |
| Cigna |
| Connecticare |
| Dean Health Plan |
| Emblem Health |
| Excellus BlueCross BlueShield |
| Fidelis Care, Inc. |
| First Choice Health Network |
| GEHA Federal Employee Health Plan |
| Geisinger Health System |
| Harvard Pilgrim Health Care, Inc. |
| Hawaii Medical Service Association |
| Healthfirst |
| HealthPartners, Inc. |
| Health Alliance Plan Illinois |
| Health Alliance Plan Michigan |
| Health Care Services Corporation |
| Highmark, Inc. |
| Horizon Blue Cross Blue Shield |
| Humana Inc. |
| Independence Blue Cross |
| John Hopkins Healthcare |
| Kaiser Foundation Health Plan of Washington** |
| L.A. Care Health Plan |
| Medica Health Plans |
| Medical Mutual |
| Meridian Health Plan |
| Moda Health Plan |
| Molina Healthcare, Inc. |
| Optima Health |
| Oscar Health |
| Pacific Source |
| Premera, Inc. |
| Presbyterian Health Plan |
| Priority Health |
| Providence Health Plan |
| QualChoice - AR |
| Quartz Health Solutions |
| Regence BCBS |
| SelectHealth |
| The Health Plan of the Upper Ohio Valley |
| TRICARE |
| Tufts Associated Health Plans, Inc. |
| Tufts Health Plan |
| United Healthcare |
| UPMC Health Plan, Inc. |
| WellCare |
| Wellmark, Inc. |
| Wisconsin Physicians Service (WPS) |
| × Denies NIPS for Average Risk Pregnant Women |
|---|
| Kaiser Foundation Health Plan, Inc. |
| MVP Health Plan |
| Paramount |
| Paramount Health Care |
Last Updated: March 11, 2024
*Women are deemed "high risk" because of age (>35), history of a prior pregnancy with a trisomy, ultrasound findings indicating increased risk, etc.
**Temporary policy change made due to COVID-19
Coverage Scorecard - Medicaid
The Coalition for Access to Prenatal Screening (CAPS) believes cf-DNA noninvasive prenatal screening (NIPS) should be available to all women. However, a clear health disparity gap exists as there are still four states whose state Medicaid programs do not cover NIPS at all, even for high risk women.
| ✓ Covers NIPS for All Women |
|---|
| Alaska |
| California |
| Connecticut |
| Colorado |
| Delaware |
| District of Columbia |
| Florida |
| Georgia |
| Hawaii |
| Idaho |
| Illinois |
| Indiana |
| Iowa |
| Kentucky |
| Maine |
| Maryland |
| Michigan |
| Minnesota |
| New Hampshire |
| New Jersey |
| New Mexico |
| New York |
| North Carolina |
| North Dakota |
| Ohio |
| Oregon |
| Pennsylvania |
| Rhode Island |
| Tennessee |
| Texas |
| Virginia |
| West Virginia |
| Wisconsin |
| Wyoming |
| Covers NIPS for "High Risk" Women |
|---|
| Alabama |
| Arizona |
| Arkansas |
| Kansas |
| Louisiana |
| Massachusetts |
| Mississippi |
| Missouri |
| Montana |
| Oklahoma |
| South Carolina |
| South Dakota |
| Vermont |
| Washington |
| × Denies NIPS for Women of Any Risk |
|---|
| Nebraska |
| Nevada |
| Utah |
Last Updated: January 23, 2024