Elevance Health Contraceptive Coverage NoticeDecember 14, 2022
Elevance Health’s affiliated health plans provide coverage of the FDA-approved methods for women’s contraceptive services, sterilization procedures and counseling, including:
- Generic contraceptive drugs
- Injectable contraceptive drugs and patches
- Contraceptive devices such as diaphragms, intra uterine devices (IUDs), cervical caps and implants
- Over-the-counter FDA-approved contraceptives for women as prescribed by a healthcare provider
- Voluntary sterilization procedures for women
- Education and counseling
This coverage may not apply to certain plans that are grandfathered plans under ACA rules.
Important Note About Contraceptive Drugs
These contraceptive services will be covered at a $0 cost sharing when obtained from an in-network pharmacy. Some categories and classes of contraception do not have generics available and, in each of these categories, at least one brand name product is available at a $0 cost sharing. If your provider determines that a brand name drug with an available generic therapeutic equivalent is necessary because a generic therapeutic equivalent drug is not appropriate for you, you may obtain coverage of the drug with a $0 cost sharing if your provider submits an Exception Request to receive prior approval to prescribe the contraceptive. Members can find additional information regarding these contraceptive benefits, including the Exception Request process, in the Evidence of Coverage and Disclosure Form. Cost sharing may vary depending on state laws and regulations.
Have Additional Questions?
If you have questions regarding this coverage, you can contact us by logging in online or through the Syndey app and using our secure message center. You can also call us at the member services phone number on the back of your ID card.