Anthem Health Plans has been ordered to pay back 446 Virginians, who filed claims between 2021 and 2024, $216,964 because the insurer charged a copay to customers for a contraceptive deemed necessary by their doctor. Virginia requires insurance companies to cover preventive services without charging co-pays. Cigna Healthcare was ordered to reimburse 457 customers about $404,000; the company had told them it would lower the amounts it paid, based on the level of Medicare coverage patients had. Virginia prohibits that.