Does Medicaid Cover Birth Control?

Medicaid is a national program that provides health insurance to more than 81 million people in the United States. In most states, Medicaid covers birth control at no cost to the patient.

Family planning with Medicaid

Federal laws say this state Medicaid Programs must provide free family planning services to the patient. As a broad category, family planning can include contraception as well as other related services such as screening for sexually transmitted infections, HIV and cancer.

Aside from this general requirement, federal regulations do not specify what benefits states must include in family planning insurance. That can make the list of what’s fully covered depend on where you live. Still, birth control is what most people think of when referring to family planning services, and most states cover it, according to the Kaiser Family Foundation.

Under the Affordable Care Act (ACA), passed in 2010, some states have expanded some or all Medicaid health care benefits to additional low-income Americans even if they don’t meet other eligibility requirements. States could choose to expand only family planning services or offer all Medicaid benefits to a broader group of people.

The 38 states (plus Washington, DC) that have opted for full Medicaid expansion must adhere to stricter rules for coverage for people who qualify for the expansion. Similar to most private insurers, these state Medicaid programs are required to provide patients with free preventative care, including birth control.

What Birth Control Does Medicaid Cover?

If your state Medicaid program covers birth control, it will cover methods approved by the US Food and Drug Administration. These methods fall into broad groups:

  • Patient education and counseling.

  • Hormonal methods, including birth control pills and vaginal rings.

  • Implanted devices such as B. IUDs or IUDs.

  • Barrier methods, including diaphragms and sponges.

  • sterilization process.

Although the ACA does not require coverage vasectomiesThe Kaiser Family Foundation reported that most of the state Medicaid programs it examined covered this procedure.

As private insurers, state Medicaid programs may have restrictions to control costs. That means you may encounter restrictions on the brands or quantity of medication you can get. You may also need a prescription for some over-the-counter birth control methods to have full coverage.

Contact your state’s Medicaid office for coverage details.

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