RIte Care - Extended Family Planning Benefits:

Gynecological Services:

• One comprehensive gynecological “annual exam” and up to three additional family planning method related office visits if indicated.
• Laboratory testing (Pregnancy testing; Annual Pap Smear; STD screening if indicated; Anemia testing, dipstick urinalysis, and urine culture if indicated.)

Gynecological Procedures:
(Covered benefits are limited to the following office/clinic/outpatient procedures if indicated):

• Colposcopy, and cryosurgery or other cauterization of the cervix.
• Tubal ligation.
• Treatment for genital warts.
• Norplant insertion and removal.
• IUD insertion and removal.
• Incision and drainage of a Bartholin’s gland cyst or abscess.

Prescription and Over-the-Counter Family Planning Methods:

• Limited to twelve 30-day supplies per year.
• Covered contraceptions include oral contraceptives, contraceptive patches, intrauterine devices (IUD), Norplant, cervical cap, diaphragm, and Depo-Provera.
• Covered over-the-counter methods include foam, condoms, and spermicidal jelly.
• Emergency contraceptive pills, as needed.

Follow-Up Treatment:

• Gynecological services, laboratory testing, procedures, and pharmaceutical supplies needed because of problems with a covered procedure or service.