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.
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**
Medica Health Plans
Medical Mutual
Meridian Health Plan
Moda Health Plan
Optima Health
Oscar Health
Pacific Source
Premera, Inc.
Presbyterian Health Plan
Priority Health
Providence Health Plan
QualChoice - AR
Quartz Health Solutions
Regence BCBS
SelectHealth
Tufts Associated Health Plans, Inc.
Tufts Health Plan
United Healthcare
WellCare
Wellmark, Inc.
Wisconsin Physicians Service (WPS)
× Denies NIPS for Average Risk Pregnant Women
Hawaii Medical Service Association
Kaiser Foundation Health Plan, Inc.
L.A. Care Health Plan
Molina Healthcare, Inc.
MVP Health Plan
Oscar Health Plan
Paramount
Paramount Health Care
The Health Plan of the Upper Ohio Valley
TRICARE
UPMC Health Plan, Inc.

Last Updated: November 1, 2021

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

CAPS-Medicaid-Coverage-Map-November-2021

✓ Covers NIPS for All Women
Alaska**
California (2022)
Connecticut
Delaware**
Florida
Idaho**
Illinois
Iowa
Kentucky
Maryland
Minnesota
New Jersey
North Dakota
Ohio
Oregon
Pennsylvania
Virginia
Washington
West Virginia
Wisconsin
Covers NIPS for "High Risk" Women
Alabama
Arizona
Arkansas
Colorado
Georgia
Hawaii
Indiana
Kansas
Louisiana
Maine
Massachusetts
Michigan
Mississippi
Missouri
Montana
New Hampshire
New York
North Carolina
Oklahoma
South Carolina
South Dakota
Tennessee
Texas
Vermont
Wyoming
× Denies NIPS for Women of Any Risk
District of Columbia
Nebraska
Nevada
New Mexico
Rhode Island
Utah

Last Updated: November 22, 2021