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
Anthem Inc.
Cigna
Health Care Services Corporation
Blue Cross Blue Shield Federal Employee Health Plan
Independence Blue Cross
Highmark, Inc.
Blue Cross Blue Shield of Michigan
Blue Shield of California
Blue Cross and Blue Shield of Florida, Inc.
Horizon Blue Cross Blue Shield
BlueCross BlueShield of Tennessee
CareFirst BlueCross BlueShield
Blue Cross Blue Shield of Massachusetts
WellCare
Cambia Health Solutions
Premera, Inc.
GEHA Federal Employee Health Plan
Wellmark, Inc.
Excellus BlueCross BlueShield
Harvard Pilgrim Health Care, Inc.
HealthPartners, Inc.
Baystate Health System
Blue Cross Blue Shield Arkansas
Blue Cross Blue Shield Arizona
Blue Cross Blue Shield Connecticut
Blue Cross Blue Shield Empire (New York)
Blue Cross Blue Shield Georgia
BlueCross Idaho
Blue Cross Blue Shield /Anthem Indiana
Blue Cross Blue Shield Kansas
Blue Cross Blue Shield /Anthem Kentucky
Blue Cross Blue Shield /Anthem Maine
Blue Cross Blue Shield Mississippi
Blue Cross Blue Shield /Anthem Missouri
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 /Anthem Ohio
Blue Cross Blue Shield Rhode Island
Blue Cross Blue Shield South Carolina
Blue Cross Blue Shield /Anthem Virginia
Blue Cross Blue Shield /Anthem Wisconsin
Blue Cross Blue Shield Wyoming
Blue Cross Blue Shield North Carolina
Blue Cross Blue Shield of North Dakota
Capital Blue
× Denies NIPS for Average Risk Pregnant Women
United Healthcare
Aetna, Inc.
Kaiser Foundation Health Plan, Inc.
TRICARE
Centene Corporation
Molina Healthcare, Inc.
Blue Cross and Blue Shield of Alabama
Blue Cross Blue Shield of Minnesota
Humana Inc.
L.A. Care Health Plan
CareSource
Medica Health Plans
Blue Cross and Blue Shield of Louisiana
Fidelis Care, Inc.
Medical Mutual
Healthfirst
UPMC Health Plan, Inc.
Tufts Associated Health Plans, Inc.
Meridian Health Plan

Last Updated: August 30, 2018

*Women are deemed "high risk" because of age (>35), history of a prior pregnancy with a trisomy, ultrasound findings indicating increased risk, etc.

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 12 states, and the District of Columbia, whose state Medicaid programs do not cover NIPS at all, even for high risk women.

✓ Covers NIPS for “High Risk” Women
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Illinois
Iowa
Kansas
Kentucky
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Montana
New Hampshire
New Jersey
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
× Denies NIPS for Women of Any Risk
Alabama
Arizona
District of Columbia
Idaho
Indiana
Louisiana
Maine
Missouri
Nebraska
Nevada
New Mexico
Rhode Island

Last Updated: August 9, 2018