Contraceptives
Prescription required.
Note: Some employers may exclude sterilization from benefits. To find out if your plan includes this service, please contact your employer or call Customer Service at the number listed on the back of your Priority Health member ID card.
Barrier
The cost of generic contraceptive methods and the ring methods for women are paid for in full by your health plan. Starting 1/1/19, some high-cost generics may not be paid for in full by your health plan when a lower-price alternative is available. See the Approved Drug List for more information.
Your deductible and/or prescription copayment applies for brand-name contraceptives when there isn't a generic available.
Deductible – The amount you pay each year before your health plan starts to pay for services listed as benefits of your plan.
Copayment – The portion you pay at the time you receive a health care service or fill a prescription. Generic contraceptive methods and the ring methods for women are covered at 100% (no cost to you).
Hormonal
The cost of generic contraceptive methods and the ring methods for women are paid for in full by your health plan. Starting 1/1/19, some high-cost generics may not be paid for in full by your health plan when a lower-price alternative is available. See the Approved Drug List for more information.
Your deductible and/or prescription copayment applies for brand-name contraceptives when there isn't a generic available.
Deductible – The amount you pay each year before your health plan starts to pay for services listed as benefits of your plan.
Copayment – The portion you pay at the time you receive a health care service or fill a prescription. Generic contraceptive methods and the ring methods for women are covered at 100% (no cost to you).
Implantable
The cost of generic contraceptive methods and the ring methods for women are paid for in full by your health plan. Starting 1/1/19, some high-cost generics may not be paid for in full by your health plan when a lower-price alternative is available. See the Approved Drug List for more information.
Your deductible and/or prescription copayment applies for brand-name contraceptives when there isn't a generic available.
Deductible – The amount you pay each year before your health plan starts to pay for services listed as benefits of your plan.
Copayment – The portion you pay at the time you receive a health care service or fill a prescription. Generic contraceptive methods and the ring methods for women are covered at 100% (no cost to you).
Emergency
Paid in full by your health plan.
Permanent
The cost of outpatient facilities are paid for, in full, by your health plan. If received during an inpatient stay, only the services related to the tubal ligation are covered in full.