Healthy Living

Saturday, October 11, 2008

The Doctor is In: Contraception and cost

K. is a 32-year-old patient of mine who "absolutely loves" her LoEstrin-24 birth control pill. She told me her periods were regular, her cramps were gone, and her face was clear on this new pill. So I was surprised when K. asked me to switch her to a different pill. "I can't afford it anymore," she said. "Even with insurance, my copay is $30 a month, and it's just too much."

K.'s story reminded me how cost can be a huge factor in birth control decision-making. Even if you have insurance, copays for the newer brands of pills can be high--and some forms of contraception, like IUDs, are often not covered at all. And if you don't have insurance, your options are even more limited. While creativity and large discount stores can help, many of my patients really struggle each month to stay on their method despite tough financial times.

Which is why it's so galling to me that the Republican nominee for president is flummoxed by the idea of comprehensive contraceptive coverage, on par with coverage for drugs like Viagra. Prevention of mistimed pregnancy is one of the most important parts of a woman's health, for many years of her life. For many reasons, using a birth control method consistently can be a challenge for many, so we should remove as many barriers as possible. I'd love to see the pill available over-the-counter for $1 a month, but I'd settle--for now--for universal insurance coverage.

Have you ever made a birth control decision based on cost?


MORE FROM DAILY BEDPOST AND GLAMOUR:

[photo credit: Getty Images]
Syndication:

From the Community…

Comments 1-10 of 50
  • Sally's Avatar
    Posted by Sally Tue Jul 22, 2008 12:39pm PDT

    Can't have it, that is the cheapest way to get it. I have a very rare chronic illness called Psudo Tumor Cerebri that if I consume birth control it could throw off my spinal fluid, and that would not be a good thing.

    Report Abuse
  • elissyann's Avatar
    Posted by elissyann Thu Jul 24, 2008 6:19pm PDT

    I wish my bc was only $30 a month. I get the generic seasonale, but my insurance doesn't cover it at all.

    Report Abuse
  • daytripper's Avatar
    Posted by daytripper Thu Jul 24, 2008 6:40pm PDT

    I opt against oral contraceptives for 2 reasons:

    1) My mother's breast cancer history.

    2) The cost.

    Condoms are pretty low-cost, and withdrawal and abstinence during more fertile times are free.

    Report Abuse
  • Krystal's Avatar
    Posted by Krystal Fri Jul 25, 2008 3:29am PDT

    I work in a Catholic hospital and in the Catholic religion birth control is a no-no, so our insurance does not cover the cost. I was taking Yasmin for a while which was costing me about $50 so I had to change. I think Cost is a huge factor especially when ur insurance does not cover it.

    Report Abuse
  • Nicki S's Avatar
    Posted by Nicki S Fri Jul 25, 2008 6:52am PDT

    I, too, take Loestrin and absolutely love the benefits of it. My main reason for switching to it was to control my hormone levels to decrease my migraines that came heavy when I started a new pack and was on the off-pills, while still having a monthly period (something I prefer to have than nothing at all). But I almost had a heart attack when I saw my first bill after 2 sample packs. $45 for one month!!! And that was with, what I consider, good health insurance. But they said it fell in Tier-3, name brand expensive, no generic. I go back to the doctor next week for a check-up and unless I get some more sample packs, I will probably switch. It is great, but it sure hurts my pocketbook. I am not so sure the benefits outweigh the cost.

    Report Abuse
  • leopardlady2003's Avatar
    Posted by leopardlady2003 Fri Jul 25, 2008 7:17am PDT

    I have no health insurance and my Yasmin costs over $68 a month, but it's still by far cheaper than pregnancy and the cost that comes with a baby.

    Report Abuse
  • butterflyfan23's Avatar
    Posted by butterflyfan23 Fri Jul 25, 2008 7:26am PDT

    With pcos I need to take it or else I dont menstrate at all! I am currently taking the generic of ortho tri-cyclin, and I can get it at Kroger for only $9 a month - and I'm uninsured. They do offer other generic meds for $4, but birth control is more for some reason. I dont know if there is anything like that in areas where there aren't Kroger stores. I know for sure I could never afford anything name brand! And that is a real shame - birth control should be cheap as free for everyone!

    Report Abuse
  • Nicole E's Avatar
    Posted by Nicole E Fri Jul 25, 2008 7:48am PDT

    i had Kaiser ins for a number of years and i was told by my Dr. (whom i quickly switched from) that he was not going to order me the bc i wanted because "abstinence is the best answer" - side bar - this was two months after my husband i and got married, we'd been abstinent long enough thank you.

    Report Abuse
  • ~blondified~'s Avatar
    Posted by ~blondified~ Fri Jul 25, 2008 8:00am PDT

    yeah thats such a load of bulls***! My ortho-tri cyclin lo is $50 a month with (individual plan) insurance! What a rip off! On a tight budget month, my fiance just pulls out or we hope for the best. We are stable enough if an accident happened it would be okay, but I really feel for those who are not in a stable relationship or in a relationship at all. Supposedely birth control is getting more generic options.

    Ps... My dr. loads me up on samples when I go in for my annual, so don't be afraid to ask. Your doctor probably understand and can help you more than anyone else :)

    Report Abuse
  • morena's Avatar
    Posted by morena Fri Jul 25, 2008 9:06am PDT

    Yes I have in the past. At the moment I'm using the Nuvaring(which I love by the way and also recommend)and my co-payment is pretty high ($25) I agree that I would love to see insurance companies cover birth control 100%

    Report Abuse
Comments 1-10 of 50

leave your comment

You must sign in to post a comment

Sign In for personalized information

New User? Sign Up

Health Byte

Does the election have you all worked up? Take a break from the hype and instead, take some deep breaths.