Birth control consultation vs office visit (during well women’s exam)

My boyfriend said I need to know what hill to die on, but I think it's about the principle & my understanding of what should be covered. Located in Hawai'i, have BCBS insurance.

At the end of my well-women's exam, I brought up that I've been having increasing menstrual cramp intensity and pre-menstrual moodiness. I knew the solution was hormonal birth control, and my doctor brought that up, so I started birth control. This second part of the appointment was billed as "office visit" and I was charged a $20 copay. However, because I was prescribed birth control (and "issues addressed" on my chart notes birth control consultation), I do not feel that I should have a copay per the Affordable Care Act.

Per the Affordable Care Act, birth control and consultation must be provided to patients without any cost sharing (i.e. I should not have to pay a copay): https://www.hhs.gov/about/news/2022/07/28/hhs-dol-treasury-issue-guidance-regarding-birth-control-coverage.html

Info on well women's visit (preventative care only) vs office visit: https://www.bewellgyn.com/billing-faqs

What do you all think? thank you!

submitted by /u/incoherentkazoo
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