Kulawa na musamman kyauta - ɗaya daga cikin muhimman abubuwan kiwon lafiya na ACA - yana daga cikin shahararrun sharuɗɗa na Dokar Kulawa mai Kulawa. Ƙididdiga a kan dukkan tsare-tsaren ACA ba su da wani abu da za su biya wani abu mai tsawo na ayyukan tsaro da ke shafi mata, yara, da dukan manya.
Taimakon tsaro na musamman ya shafi mafi yawan tsare-tsaren kiwon lafiya a Amurka a yanzu, kuma an kafa shi kafin yawan kudaden ACA a shekarar 2014.
Shirin ya shafi shirye-shiryen mutum da kuma manyan tsare-tsare na ƙungiyoyi. An yi watsi da tsare-tsaren lafiyar lafiyar jiki daga abin da ake buƙata don kare kulawa ba tare da raba farashi ba (shirin da aka tsara a cikin watan Maris 23, 2010 ya kasance an sanya ACA cikin doka). A shekarar 2014, kimanin kashi] aya na cikin ma'aikata da ma'aikata masu tallafawa na aiki sun yi amfani da su sosai.
Kasuwanci - menene aka rufe don kyauta?
HHS ta kafa jerin tsare-tsaren mata na musamman wanda ya shafi dukkan sabon tsarin da sabuntawa a watan Agustan 2012. Ya haɗa da ɗaukar jinya da ba tare da raba farashi ba. Amma wannan ba yana nufin cewa za a ba da duk wani zaɓi na haɓaka haihuwar ta mai biyan inshora na lafiyar ku ba.
HHS ya bayyana cewa tsare-tsaren kiwon lafiya dole ne a rufe akalla ɗaya daga dukkan hanyoyin FDA da aka yarda da ita ta hanyar hana haihuwa, ban da kwayoyin abortifacient (tsarin kiwon lafiyar ba a buƙatar rufe maganin rigakafi ga maza ba, har da vasectomies).
Lokacin da wasu nau'i na sababbin magunguna suke samuwa, tsarin lafiyar zai iya ba da jigilar jini ba tare da raba farashin ba amma ya ba da kyaftin idan mai insured ya fi son suna (wanda ake buƙatar cewa a yi watsi da copay idan likita mai insured ya ƙayyade cewa madadin da aka ba shi ba tare da cajin da shirin lafiya ba zai dace da marasa lafiya ba.
Akwai nau'o'i 18 daban-daban na ƙwararrun mata masu yarda da FDA:
• Sterilization tiyata
• Tsarin digiri na sterilization
• Sandar da ba za a iya ba
• Na'urar na'urar Intrauterine na Kira (IUD)
• IUD tare da progestin
• Shot / allura (Depo-Provera)
• Kwayoyin maganin jijiyoyi (kwaya), tare da estrogen da progestin
• Hanyar maganin maganin maganin ƙwayoyin cuta tare da progestin kawai ("mini-pill")
• Hanyar maganin jijiyoyin da ake amfani dasu da jinkirin haila (wanda aka sani da nau'in hawan mata)
• Alamar
• Sigin yarinya na rigakafi
• Diaphragm
• Soso
• Cervical cap
• Kwaroron roba
• Spermicide
• Hanyar hana haihuwa ta gaggawa (Shirin B / kwayar safiya)
• Hanyar hana haihuwa ta gaggawa (Ella / Uetristal acetate)
Kamfanin mai inshora na kiwon lafiya ya samar muku da akalla zaɓi ɗaya daga kowane ɗayan waɗannan sassa 18, ba tare da farashi ba. Ga wasu nau'in maganin hana haihuwa, akwai masu yawa zaɓuɓɓuka da ake samu, kuma mai ɗaukar inshora na lafiyarku zai iya ba da kyauta ga yawancin su, idan dai an ba da ɗaya a gare ku ba tare da caji ba.
LARC - araha a karkashin ACA
Abinda ake buƙatar kowane nau'i na hana daukar ciki ya kasance ba tare da raba farashi yana da mahimmanci ga ƙwararrun ƙwararrun ƙwaƙwalwar ƙwararru (IUDs da sandan da ba a haɗa ba).
Wadannan zaɓuɓɓuka suna da tsada sosai a game da farashin da ke gaba gaba kafin umarni na hana ACA (ko da yake duk da cewa rayuwa ta samfurin, suna da tsada fiye da tsada baki). Amma suna da tasiri ƙwarai da gaske kuma karatun sun gano cewa mata sun fi son su zuwa wasu hanyoyin yin rigakafi idan farashin ba shi da wani kariya. An yi amfani da maganin rigakafi mai tsawo a shekara ta 2012, kuma masana sun yi imanin cewa yin amfani da su zai kara karuwa a sakamakon ACA.
gwagwarmaya ga umarnin hana daukar ciki
Ƙungiyar ACA ta ware majami'u da kuma marasa bin addini daga umarnin hana daukar ciki, amma wasu kungiyoyi sun yi tawaye akan wannan doka kuma wasu sun yi nasara a kotun.
A cikin shekara ta 2014, Lobby Hobby ya ba da izini don ware wasu nau'i hudu na hana daukar ciki (duka IUDs, tare da Shirin B da Ella) daga tsarin lafiyar ma'aikatan su. Kotun Koli ta kulla yarjejeniya da Hobby Lobby, ta yanke hukuncin cewa gwamnati ta nemi hanya ta tabbatar da cewa '' kamfanoni '' 'kamar' 'Hobby Lobby' 'tare da ƙin yarda da wasu ko duk hanyoyi na kulawar haihuwa zai iya kaucewa biyan bashin su na tsarin lafiyar su.
A cikin watan Yuli na shekarar 2015, saboda amsawar Burwell v. Hobby Lobby hukuncin, HHS ya kammala hukuncin da zai iya ba da damar zuwa ga "ƙungiya mai rike da riba da ke da kariya wanda yake da ƙin yarda da bada tallafi ga wasu ko duk abin da ya saba da shi," yayin da har yanzu tabbatar da cewa mata suna samun cikakken damar yin amfani da ƙwararren FDA. A karkashin jagorancin, mai kula da lafiyar jiki (ko mai gudanarwa na ɓangare na uku a yanayin sha'anin aikin kansa) yana ɗaukar nauyin rufe wasu ko duk maganin hana haihuwa, ba tare da kudin mace ko ma'aikaci ba. Haɗin da ake yi don ƙungiyoyi masu riba-riba suna da irin wannan sabis da HHS ya bayar a baya don bautar marasa amfani.