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Insurance coverage for Plan B emergency contraception varies by state and provider. Some plans may cover it with a copayment, while others may require a prescription.
In 2013, the Affordable Care Act (ACA) mandated that all health insurance plans cover FDA-approved prescription contraceptives, including Plan B, without cost-sharing.
Many insurance companies consider Plan B a prescription medication, which may require a doctor's visit to obtain. However, some states have laws that allow pharmacists to dispense emergency contraception without a prescription.
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What Is Morning-After Pill
The morning-after pill is a type of emergency contraception designed to prevent pregnancy after unprotected sex. It's available in different forms, including Plan B One-Step and Ella.
Plan B One-Step contains 1.5 milligrams of levonorgestrel, which works by preventing an egg from fully developing, being fertilized, or attaching inside the uterus. This active ingredient is approved by the U.S. Food and Drug Administration to prevent pregnancy up to 72 hours after unprotected sex.
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Ella, on the other hand, is a form of emergency contraception that uses the hormone ulipristal acetate to stop ovulation. It can be taken up to five days (120 hours) after unprotected sex, making it a longer-lasting option compared to Plan B One-Step.
Emergency contraception works best when taken as soon as possible after unprotected sex, with the ideal time being within 24 hours. However, it's still effective when taken within 72 hours, reducing the risk of pregnancy by 75% to 99%.
Here's a comparison of the effectiveness of two popular morning-after pill options:
Factors that influence the effectiveness of emergency contraception include the amount of time that has gone by since unprotected sex and the point in your cycle when you had sex. The closer you are to ovulation, the less effective emergency contraception will be.
How to Use Morning-After Pill
You can take Plan B and other levonorgestrel morning-after pills up to 5 days after unprotected sex, but the sooner you take them, the better.
The effectiveness of these pills decreases over time, from 95% if taken within 24 hours to 61% if taken between 48 and 72 hours after unprotected sex.
To use these pills, simply swallow the tablet as you would any other pill, usually one dose packaged as one pill, and take another if instructed to do so.
How to Use
Taking the morning-after pill is a straightforward process. You take one tablet by mouth within 72 hours of having unprotected sex.
The sooner you take it, the better. If you have access to Plan B already, take it immediately.
If taken within 24 hours, Plan B is 95% effective. This is the optimal time to take it for maximum efficacy.
If taken between 48 and 72 hours after unprotected sex, the efficacy rate goes down to 61%.
Levonorgestrel Morning-After Pill Instructions
Take levonorgestrel morning-after pills as soon as possible after unprotected sex. The sooner you take them, the more effective they will be.
You can take these pills up to 5 days after unprotected sex, but they work best if taken within the first 3 days. Taking them within 24 hours can be 95% effective.
The typical dosage is one tablet, which you should swallow like any other pill. If you get two pills, take both as directed.
Levonorgestrel morning-after pills can lower your chance of getting pregnant by 75-89% if taken within 3 days after unprotected sex.
You can take Plan B and other levonorgestrel morning-after pills up to 5 days after unprotected sex, but their effectiveness decreases with time.
These pills may not work if you weigh more than 165 pounds. If that's the case, consider using an IUD or Ella instead.
To ensure the effectiveness of levonorgestrel morning-after pills, take them as soon as possible after unprotected sex and follow the instructions carefully.
Here's a quick summary of what to do:
- Take one tablet of levonorgestrel morning-after pills as soon as possible after unprotected sex.
- Swallow the tablet like any other pill.
- Take two pills if you get two, as directed.
- Take the pills up to 5 days after unprotected sex, but within the first 3 days for best results.
- Consider using an IUD or Ella if you weigh more than 165 pounds.
Cost and Access
If you're insured or have Medicaid, you may be able to obtain Plan B for free. This is a great option, but not everyone has insurance or Medicaid.
Plan B can cost as little as $11 or as much as $50 or more, depending on the brand and where you buy it. Generic morning-after pills can range from $11 to $45.
Some pharmacies offer discounted rates on Plan B, and you can also use a $10 off coupon on the brand's website. GoodRx is another option for discounted rates.
If you choose to purchase through a telehealth platform, you may be able to use your insurance. However, some platforms, like Nurx and Wisp, don't accept insurance or Medicaid.
Here are some prices for Plan B and Ella through telehealth platforms:
Some insurances cover the morning-after pill without a copay, and you may also be able to use funds from a flexible spending account to cover the cost.
Options and Effectiveness
If you're considering taking Plan B or other levonorgestrel morning-after pills, it's essential to know their effectiveness. A levonorgestrel morning-after pill can lower your chance of getting pregnant by 75-89% if taken within 3 days after unprotected sex.
Levonorgestrel morning-after pills may not work as well if you weigh more than 165 pounds, so it's worth exploring other options like IUDs or ella. You can take Plan B and other levonorgestrel morning-after pills up to 5 days after unprotected sex, but sooner is always better.
Here's a quick rundown of the effectiveness of some popular emergency contraception methods:
- Ella (ulipristal acetate) is 98% effective.
- Plan B One-Step and generics are 87.5% effective.
These statistics are based on using emergency contraception as directed, and factors like the time since unprotected sex and your menstrual cycle can affect how well it works.
Options
If you're looking to purchase emergency contraception online, there are a few options to consider.
Nurx and Wisp are two platforms that offer generic Plan B and Ella without a prescription, but neither accepts insurance or Medicaid.
Wisp's generic Plan B costs $18 per pill, while Ella costs $44 per pill.
With Nurx, you can get generic Plan B for $14.99 per pill out of pocket, but Ella costs $45 per pill out of pocket, or as little as $0 with insurance after a $15 medical consultation.
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Pandia Health is another option that accepts Medicaid and offers Plan B for free with most insurance.
You can also buy Plan B and generic Plan B online through major retailers like Amazon, Target, CVS, and Walgreens, but keep in mind that you'll have to pay full price if you order online.
Here are some options to consider:
Keep in mind that if you get a prescription for emergency contraception and take it to an in-person retail pharmacy, you should be able to use your insurance.
Emergency Contraception Options
If you need emergency contraception, there are several options available.
You can purchase Plan B and generic Plan B online through platforms like Nurx, Wisp, and Pandia Health. Nurx offers generic Plan B for $14.99 per pill out of pocket, while Wisp offers it for $18 per pill.
Some platforms, like Pandia Health, accept Medicaid and offer free or low-cost emergency contraception with most insurance plans.
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When choosing an option, consider the effectiveness and cost. Plan B and generic Plan B are 87.5% effective if taken within 72 hours, while Ella is 98% effective.
If you take Plan B and other levonorgestrel morning-after pills, they work best when taken as soon as possible after unprotected sex, ideally within 24 hours.
Here's a quick rundown of the effectiveness of some emergency contraception options:
Keep in mind that factors like the time since unprotected sex and your point in your cycle can influence the effectiveness of emergency contraception.
Side Effects and Removal
Side effects of the morning-after pill are usually mild and fade quickly. Some women experience no side effects at all.
Drinking water can help relieve some of the side effects, which include abdominal pain/cramping, breast tenderness, dizziness, fatigue, headache, and nausea.
You may have some spotting (or light bleeding) beforehand, and your next period may come sooner or later than usual. Rest assured, the pill will not affect your ability to get pregnant in the future.
- Abdominal pain/cramping
- Breast tenderness
- Dizziness
- Fatigue
- Headache
- Nausea
Morning-After Pill Side Effects
Drinking water can actually help relieve some of the side effects you may experience from the morning-after pill.
Abdominal pain, cramping, breast tenderness, dizziness, fatigue, and headaches are all possible side effects. They're usually mild and fade quickly.
Some women experience no side effects at all, which is great news.
It's more likely that your next period may come sooner or later than usual, and you may have some spotting (or light bleeding) beforehand. This is just a normal part of the process.
Here are some common side effects of the morning-after pill:
- Abdominal pain/cramping
- Breast tenderness
- Dizziness
- Fatigue
- Headache
- Nausea
Rest assured, the pill will not affect your ability to get pregnant in the future.
Removal Steps
In Massachusetts, pharmacists can now dispense emergency contraception without a prescription from a doctor. This is thanks to a statewide standing order that allows for more convenient access to medication.
Pharmacies like CVS and Walgreens can provide either over-the-counter or prescription emergency contraception, depending on what's best for the patient. This eliminates the need for a doctor's visit, saving time and hassle.
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The new standing order also ensures that insurance covers the cost of the medication, making it more affordable for those who need it. People can access the medication at the point of sale, without any additional costs or barriers.
Pharmacists can now offer both LNG-based contraception like Plan B One Step and UPA-based emergency contraception like ella, based on the patient's needs. This gives individuals more options and flexibility when it comes to emergency contraception.
Frequently Asked Questions
How to get Plan B for free?
Get free or low-cost emergency contraception at a family planning clinic. Visit HealthCare.gov to see if you're eligible for low-cost or no-cost health insurance
Sources
- https://www.guttmacher.org/state-policy/explore/insurance-coverage-contraceptives
- https://www.healthline.com/health/birth-control/plan-b-cost
- https://reproequitynow.org/blog/contraception-standing-order2022
- https://www.verywellhealth.com/where-to-get-the-morning-after-pill-906843
- https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill
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