ACOG recognizes that the daily practice of obstetrician-gynecologists is impacted by coverage, payment, and administrative policies imposed by public and private payers. Several policies are set by federal or state governments and implemented across all payers.

The three broad categories for payer type include Medicare, Medicaid, and commercial (private) plans. Within those categories there are hundreds of public and private companies; in fact, according to the National Association of Insurances Commissioners, over 1,000 health insurance companies in 2020 brought in a net earnings of about $31 billion for the year.

The information in these pages includes federal health payer policies that may be implemented differently by state and local health plans. To find state plan information, look up your state insurance commissioner website.



Have Questions?

For questions or issues, contact us through ACOG’s Payment Advocacy and Policy Portal.