What Does Sc Family Planning Medicaid Cover

South Carolina Family Planning Medicaid offers various services to support women and families in planning and maintaining their health. These services are designed to promote reproductive health and well-being. Family Planning Medicaid covers a range of reproductive health services, including contraceptives, screenings, and counseling. It also offers comprehensive services for pregnancy prevention, such as education, counseling, and access to contraceptives. Family Planning Medicaid plays a vital role in promoting the health and well-being of women and families by providing them with the necessary resources to make informed decisions about their reproductive health.

Covered Services for Women

South Carolina Family Planning Medicaid provides a variety of preventive and primary health care services to women of reproductive age, including:

  • Annual physical exams
  • Breast exams and mammograms
  • Pap smears and pelvic exams
  • Sexually transmitted disease (STD) testing and treatment
  • Birth control counseling and services
  • Pregnancy testing and counseling
  • Prenatal care and childbirth services
  • Postpartum care
  • Family planning education and counseling

The following table provides a more detailed list of covered services for women under South Carolina Family Planning Medicaid:

ServiceDescription
Annual physical examsA comprehensive physical exam that includes a review of your medical history, vital signs, and a physical examination of your head, neck, chest, abdomen, and extremities.
Breast exams and mammogramsA clinical breast exam and a mammogram are used to screen for breast cancer.
Pap smears and pelvic examsA Pap smear is a test that checks for cervical cancer. A pelvic exam is a physical exam of your reproductive organs.
STD testing and treatmentTesting and treatment for sexually transmitted diseases, such as chlamydia, gonorrhea, syphilis, and HIV.
Birth control counseling and servicesCounseling on different types of birth control and access to birth control methods, such as pills, condoms, and IUDs.
Pregnancy testing and counselingPregnancy testing and counseling on pregnancy options, such as having the baby, adoption, or abortion.
Prenatal care and childbirth servicesPrenatal care, labor and delivery, and postpartum care.
Postpartum careCare for women after they give birth, including physical and emotional support.
Family planning education and counselingEducation and counseling on family planning, including how to prevent pregnancy, how to have a healthy pregnancy, and how to raise healthy children.

Covered Services for Men

The South Carolina Family Planning Medicaid program offers a wide range of reproductive health care services to men of all ages. These services are designed to help men maintain good reproductive health and prevent unintended pregnancies.

Birth Control Services

  • Condoms
  • Diaphragms
  • Intrauterine devices (IUDs)
  • Male condoms
  • Oral contraceptives
  • Permanent sterilization (vasectomy)
  • Withdrawal method

STD Testing and Treatment

The program covers testing and treatment for sexually transmitted diseases (STDs), including:

  • Chlamydia
  • Gonorrhea
  • Hepatitis B
  • Human papillomavirus (HPV)
  • Syphilis
  • Trichomoniasis

Other Reproductive Health Services

The program also covers other reproductive health services, such as:

  • Pelvic exams
  • Pap smears
  • Breast exams
  • Cancer screenings
  • Counseling and education about reproductive health

How to Get Services

To get services through the South Carolina Family Planning Medicaid program, you must be a South Carolina resident and meet certain income and eligibility requirements. You can apply for the program online or at your local county health department.

ServiceCovered
Birth Control ServicesYes
STD Testing and TreatmentYes
Other Reproductive Health ServicesYes

Eligibility Requirements for Family Planning Medicaid

To be eligible for Family Planning Medicaid in South Carolina, you must meet certain criteria set by the state. These criteria include:

Age

  • Be between the ages of 14 and 44.

Income

  • Have an income that is below a certain level. The income limit is based on the federal poverty level (FPL).
  • For 2023, the income limit for a family of four is $35,900.

Residency

  • Be a resident of South Carolina.

Citizenship or Eligible Immigrant Status

  • Be a U.S. citizen, national, or qualified alien.

Pregnancy Status

  • Be pregnant or planning to become pregnant.

Additional Eligibility Factors

  • Be enrolled in or applying for Medicaid.
  • Meet other eligibility requirements set by the state.

If you meet all of these criteria, you may be eligible for Family Planning Medicaid in South Carolina. To apply, you can contact your local Medicaid office or visit the South Carolina Department of Health and Human Services website.

Services Covered by Family Planning Medicaid

If you are eligible for Family Planning Medicaid, you will have access to a wide range of services, including:

  • Birth control
  • STD testing and treatment
  • Pregnancy testing and counseling
  • Well-woman exams
  • Prenatal care
  • Postpartum care
  • Family planning education

The exact services that are covered by Family Planning Medicaid may vary depending on your individual needs and circumstances.

How to Apply for Family Planning Medicaid

To apply for Family Planning Medicaid, you can contact your local Medicaid office or visit the South Carolina Department of Health and Human Services website. You will need to provide documentation of your income, residency, and citizenship or eligible immigrant status.

Once you have applied, your application will be reviewed by the state. If you are approved, you will receive a Medicaid card that you can use to access covered services.

Additional Information

For more information about Family Planning Medicaid in South Carolina, you can visit the South Carolina Department of Health and Human Services website or contact your local Medicaid office.

Income Limits for Family Planning Medicaid in South Carolina
Family SizeIncome Limit
1$26,500
2$35,900
3$45,300
4$54,700
5$64,100
6$73,500
7$82,900
8$92,300

Exclusions to SC Family Planning Medicaid Coverage

The South Carolina Department of Health and Human Services offers Medicaid coverage for family planning services. The services covered include contraceptive supplies and services, preconception and prenatal care, well-woman examinations, and education. However, there are some services that are not covered under the program.

The following services are not covered by SC Family Planning Medicaid

  • Abortion services
  • Sterilization procedures
  • Services provided by a private physician or clinic that is not a participating provider in the Medicaid program
  • Services that are not medically necessary
  • Services that are covered by another insurance plan
  • Services that are experimental or investigational
  • Services that are provided for the purpose of enhancing fertility
  • Services that are provided for the purpose of sex selection
  • Services that are provided for the purpose of cosmetic improvement
  • Services that are provided for the purpose of weight loss
Services Covered by SC Family Planning Medicaid
ServiceDescription
Contraceptive Supplies and ServicesIncluding condoms, birth control pills, intrauterine devices (IUDs), and contraceptive implants.
Preconception and Prenatal CareIncluding well-woman exams, prenatal vitamins, and childbirth classes.
Well-Woman ExaminationsIncluding Pap smears, breast exams, and pelvic exams.
EducationIncluding sex education and family planning counseling.

If you are unsure whether a particular service is covered by SC Family Planning Medicaid, you can contact the South Carolina Department of Health and Human Services for more information.

Well, that’s all the information I have about what SC Family Planning Medicaid covers. It was nice talking to you about it. If you have any more questions, feel free to ask! I’m always here to help. And remember, if your situation changes, be sure to reach out to your Medicaid office to see if you still qualify. SC Family Planning Medicaid is always changing and improving, so it’s worth checking back every now and then to see what’s new. In the meantime, take care and thanks for reading!