NEXPLANON is covered by most health care plans
. If covered, NEXPLANON will be covered as either a medical benefit or a pharmacy benefit. Medical benefit: This is the most common form of coverage for NEXPLANON. It means that both the drug and procedure are covered under the same benefit .
Does insurance cover the arm implant?
There's a good chance you can get the implant for free (or at a reduced price) if you have health insurance. Because of the Affordable Care Act (aka Obamacare),
most insurance plans must cover all methods of birth control, including the implant
.
How do I know if my insurance covers birth control?
Call your health plan
. This phone number is on your insurance card. If your plan is through your job, you may be able to speak with someone in the Human Resources department.
Does health insurance have to cover birth control?
Plans in the Health Insurance Marketplace® must cover contraceptive methods and counseling for all women, as prescribed by a health care provider
. Plans must cover these services without charging a copayment or coinsurance when provided by an in-network provider — even if you haven't met your deductible.
Is Nexplanon good for 3 or 4 years?
Nexplanon is frequently recommended for use
up to five years
, despite its three-year label.
How is Nexplanon billed?
The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes:
11981 Insertion, non-biodegradable drug delivery implant
.
11982 Removal, non-biodegradable drug delivery implant
.
11983 Removal with reinsertion, non-biodegradable drug delivery implant
.
Does Nexplanon cause weight gain?
The birth control implant (AKA Nexplanon)
may cause weight gain in some people while they're using it
, but this doesn't happen to everyone. It's not a very common side effect, and many people use the implant without gaining weight.
Will Planned Parenthood remove my Nexplanon for free?
You can get your birth control implant removed at your local Planned Parenthood health center. Make an appointment online or call 1-800-230-PLAN. Nexplanon works for up to 5 years, and
a nurse or doctor must remove it
.
Can Nexplanon stop working after 2 years?
Nexplanon remains effective for three to four years
. You will want to keep track of the scheduled removal date and make an appointment with your doctor to remove it just before the expiration date. Once it expires, it no longer protects against pregnancy.
Why is my insurance charging me for birth control?
So if you're still getting charged for your birth control or birth-control-related services, it may be because
your insurance company is bending the rules
. Several recent studies have found that some insurance companies aren't covering everything the law says they should.
Why is my insurance not covering my birth control?
Prescription contraceptives are used exclusively by people with female reproductive systems. Failure to provide coverage for prescription contraceptive drugs and devices in health plans that otherwise cover prescription drugs
violates the Civil Rights Act because it singles out women
.
Will my parents know if I get birth control with insurance?
Thanks to doctor–patient confidentiality, your doc can't talk to your parents about these topics without your permission. The Pill is covered by most health insurance, but
if you are on your parents' plan, they may know if insurance pays for it
.
Is birth control free 2021?
Insurers sometimes don't cover certain contraceptive methods for free, though they are supposed to cover most by law. Even for long-established methods, like IUDs, insurers sometimes make it hard for women to get coverage by requiring preapproval.
How can I get birth control for free?
In the U.S., many people have access to free birth control
through the Affordable Care Act and their health insurance plans
. People without insurance may be able to access free or low-cost birth control at a local nonprofit, community, or university clinic. Some of these may be called Title X clinics or FQHCs.
Is the Affordable Care Act still in effect?
The Rest of the ACA Remains in Effect
Other than the individual mandate penalty repeal (and the repeal of a few of the ACA's taxes, including the Cadillac Tax),
the ACA is still fully in effect
.
Do you ovulate on Nexplanon?
The implant releases a progestational hormone to prevent sperm from reaching the egg.
The implant typically suppresses ovulation as well
. You can have a contraceptive implant inserted during a visit to your health care provider's office.
What cancels out Nexplanon?
Certain medicines may make NEXPLANON less effective, including:
Aprepitant
.
Barbiturates
.
Bosentan
.
Can Nexplanon cause infertility?
The short answer: The contraceptive implant (Implanon NXT®)
does not affect long-term future fertility
.
What is the difference between Nexplanon and Implanon?
The only difference between Implanon and Nexplanon is the
safety features that are in Nexplanon but not in Implanon
. Nexplanon has two safety features designed to ensure proper insertion. Nexplanon has replaced Implanon, and Implanon is no longer being manufactured.
How long does Nexplanon last?
The birth control implant (AKA Nexplanon) is a tiny, thin rod about the size of a matchstick that releases hormones into your body to prevent you from getting pregnant. One of the benefits of receiving the implant is that it lasts for
up to 5 years
, but it's not permanent.
Does Nexplanon stop your period?
The most common side effect is irregular bleeding (aka spotting), especially in the first 6-12 months. But
most people on the implant get lighter periods, or their periods stop altogether while they have the implant
. Other possible side effects that aren't as common include headaches, breast pain, and nausea.
Can you drink alcohol while on Nexplanon?
While the shot is never 100% effective at preventing pregnancy, it's still 99% effective if you always get it on time.
Drinking alcohol doesn't change that
. Alcohol won't affect IUDs, implants, the ring, or the patch either.
What does Brown discharge Mean while on Nexplanon?
You may also have brown discharge (
old blood
). This discharge is common as your body adjusts to the hormone medicine in the implant, which can take one or more months to stop.
What are the disadvantages of the implant?
Disadvantages:
you may experience temporary side effects during the first few months, like headaches, nausea, breast tenderness and mood swings
. your periods may be irregular or stop altogether. you may get acne or your acne might get worse.
Can you get pregnant on Nexplanon after 3 years?
Nexplanon is the one of the most effective forms of birth control and lasts up to three years. It has a 0.1% failure rate, meaning that
1 in 1,000 people using the birth control implant will become pregnant in a year
.
How effective is Nexplanon without pulling out?
The Effectiveness of Nexplanon
Nexplanon is
over 99% effective
. Fewer than 1 out of 100 women who use Nexplanon will get pregnant each year.
Does Nexplanon cause acne?
Implant (e.g. Nexplanon, Jadelle) The Nexplanon implant contains a progestin called *etonogestrel*. An analysis of 942 people who used the etonogestrel implant for an average of two years found that
12% reported acne
, but only about 1% stopped using the implant because of this side effect (7).
