Health care used to be a benefit. Lately it is a "cost" that the employee opts in or out of. My cost seems to be going up all the time and I'm sure my companies cost is going up also.
How, or for what reason a company chooses a certain health plan is really not my business. If I choose to work there and choose to partake of their health plan, then I agree to it's conditions. I may not like the co-pay or deductable or any other parts of the plan. But I can not opt in and get my own (and pay big bucks) or I can opt in and live with what I get. 30 years ago my health plan did not cover birth control. Don't remember when it started to cover it. It did pay for my vasectomy (after co-pay and deductables) so we haven't use the birth control portion for a while now. (had my vasectomy sometime in the late 1990's).
As I have said before, I am anti-ACA (and the "Affordable" part of the name should go

). A company should be able to offer any type of plan they want to, or none at all, which is where I believe the ACA will take us.
And that is not such a bad thing either. I think if people really saw the actual cost of a health plan, not just their piece they pay in their paychecks, costs may start to get a little under control. Nothing like paying out of your own pocket to make people control their spending. And if they shop around and get a better deal, then other insurance companies will take notice and perhpas lower prices or make more things covered.
Look at car insurance. While not cheap by any stretch of the imagination (here in the north east anyway), how many commercials are advertising lower rates. E-surance, geico, statefarm, allstate, blah blah blah are all competing for my dollars. Seems I can save 15% in 15 minutes, or more in less time depending on who I call.