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BCBS IUD coverage can be a bit confusing, but don't worry, we've got you covered. BCBS stands for Blue Cross Blue Shield, a well-established health insurance provider.
BCBS IUD coverage varies by state and plan, but most BCBS plans cover IUD insertion and removal procedures. In fact, BCBS of Illinois covers IUD insertion for $0 copay, with no out-of-pocket costs.
Understanding BCBS IUD Coverage
If you're considering getting an IUD, you'll be happy to know that many BCBS plans cover this form of birth control. In fact, most Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. plans include IUDs as a covered contraceptive option.
You can get an IUD inserted or removed without paying out of pocket, as long as you get it from an in-network provider. However, if you get it from an out-of-network provider, you'll likely have to pay out of pocket.
BCBS covers a range of IUDs, including those with copper or progestin. These include rods and intrauterine devices (IUDs) like Mirena, Skyla, and ParaGard.
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To find out more about your specific IUD coverage, call Customer Service at the number on your ID card. They can help you understand how your plan covers IUDs and other contraceptive options.
Here are some common types of IUDs that are often covered by BCBS:
- Mirena (progestin-releasing IUD)
- Skyla (progestin-releasing IUD)
- ParaGard (copper IUD)
- Kyleena (progestin-releasing IUD)
- Skyla (progestin-releasing IUD)
Remember to always check with your provider or BCBS to confirm your coverage and out-of-pocket costs.
Checking Your Coverage
If you're considering an IUD as a form of birth control, it's essential to check your insurance coverage beforehand. You can call Customer Service at the number on your ID card to ask how your plan may cover contraceptive care.
Most Blue Cross and Blue Shield plans include contraceptive care options, and many plans cover certain contraceptive care prescribed for women with reproductive capacity for $0 out of pocket.
To find out if your plan covers an IUD, you can also check the Covered Drug List on your insurance provider's website or contact your doctor to request an exception or prior authorization for your IUD to be covered.
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If your IUD is not already provided for $0, you or your doctor can request a $0 copay for that drug if it meets clinical criteria. You may call the Pharmacy number on your ID card, or your provider may call 1-800-842-2015 to make this request.
Here are some common IUDs that may be covered by your insurance:
- Mirena
- ParaGard
- Skyla
- Kyleena
You can also check if your insurance covers an IUD by visiting your insurance provider's website and searching for "Mirena" or "IUD coverage."
Your Insurance Coverage
Most Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. plans include contraceptive care options, which cover certain contraceptive care prescribed for women with reproductive capacity for $0 out of pocket when obtained in network.
You can call Customer Service at the number on your ID card to ask how your plan may cover contraceptive care.
Commonly covered contraceptives include FDA-approved methods prescribed or provided by a doctor, such as birth control pills, shots or injections, barrier methods, implanted devices, patches, and emergency contraceptive pills.
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These methods also cover care and services needed to provide the contraceptive methods, like placement, removal, or injection of covered products, as well as education and counseling about contraceptives and sterilization.
You can find covered prescription contraceptive drugs on the Covered Drug List, and if your drug is not already provided for $0, you or your doctor can request a $0 copay for that drug if it meets clinical criteria.
Here are some examples of commonly covered contraceptives:
- Birth control pills
- Shots or injections
- Barrier methods: vaginal contraceptive rings, diaphragms, sponges, cervical caps, condoms, spermicide
- Implanted devices: rods or intrauterine devices (IUDs) with copper or progestin
- Patches
- Sterilization surgery like tubal ligation or surgical implants for women; vasectomy for men
- Emergency contraceptive pills
Frequently Asked Questions
Does IUD count as preventive care?
Yes, IUDs are considered preventive care and should be covered without copays or deductibles. This means you won't have to pay out of pocket for an IUD insertion.
Sources
- https://www.bcbsla.com/find-a-doctor/rx-drug-resources/contraceptive
- https://www.nebraskablue.com/ContraceptiveCoverage
- https://www.mirena-us.com/ordering-reimbursement
- https://www.bluecrossvt.org/health-community/blog/listing/your-contraceptives-coverage
- https://www.bluecrossnc.com/blog/insurance-basics/preventative-care/10-no-cost-health-care-services
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