Does Medicare Cover Birth Control?

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Understanding the importance of reliable and accessible healthcare coverage. Medicare, the federal health insurance program for individuals aged 65 and older, as well as certain younger people with disabilities, offers a wide range of benefits. One common question that arises is whether Medicare covers birth control. In this article, we will delve into this topic and provide you with the information you need to make informed decisions about your healthcare.

Understanding Medicare Coverage

Medicare consists of different parts, each providing coverage for specific services. To determine if birth control is covered, we need to examine the different parts of Medicare and their associated benefits.

Medicare Part A

Medicare Part A primarily covers hospital stays, skilled nursing facility care, and some home health services. However, it does not provide coverage for prescription drugs, including birth control medications.

Medicare Part B

Medicare Part B covers outpatient services, preventive care, and medically necessary services. While Part B covers a wide array of services, such as doctor visits and laboratory tests, it does not typically cover prescription drugs, including birth control.

Medicare Part D

Medicare Part D is a prescription drug plan that provides coverage for medications not covered by Part A or Part B. Although Part D covers many prescription drugs, including some contraceptives, the specific types and brands covered can vary between plans. It’s important to review the formulary of your Part D plan to determine if your preferred method of birth control is included.

Medicare Advantage Plans

Medicare Advantage Plans (Part C) are offered by private insurance companies approved by Medicare. These plans must provide at least the same level of coverage as Original Medicare (Part A and Part B) but often include additional benefits. Some Medicare Advantage Plans may offer prescription drug coverage that includes birth control. It’s essential to review the plan documents or contact the insurance provider directly to understand the coverage details.

Medigap (Medicare Supplement Insurance) Policies

Medigap policies are designed to supplement Original Medicare coverage by filling in the gaps. These policies are sold by private insurance companies and can help cover certain out-of-pocket expenses, such as deductibles and copayments. However, Medigap policies do not typically cover prescription drugs, including birth control.

Alternatives for Birth Control Coverage

While Original Medicare does not generally cover birth control, there are alternative options available for obtaining coverage.


Medicaid is a joint federal and state program that provides healthcare coverage to individuals with limited income and resources. Medicaid covers a wide range of services, including prescription drugs, and may offer coverage for birth control. Eligibility requirements vary by state, so it’s important to check with your local Medicaid office for specific information.

Medicare Advantage Plans with Prescription Drug Coverage

As mentioned earlier, some Medicare Advantage Plans offer prescription drug coverage that includes birth control. If you prefer the comprehensive coverage provided by Medicare Advantage Plans, it’s worth exploring different plan options in your area to find one that meets your specific needs.

Family Planning Clinics

Family planning clinics, such as Planned Parenthood, offer affordable reproductive healthcare services, including birth control. These clinics often provide services on a sliding fee scale based on income, making them accessible to individuals with limited financial resources.

State Programs and Resources

Certain states have established programs and resources to assist individuals in accessing affordable or free birth control. These programs may be available to both Medicare beneficiaries and non-beneficiaries alike. Contact your state’s health department or local community organizations to inquire about these options.


In summary, while Original Medicare does not typically cover birth control, there are alternative options available for obtaining coverage. Medicaid, Medicare Advantage Plans with prescription drug coverage, family planning clinics, and state programs and resources can provide affordable access to birth control for those in need. It’s crucial to explore these alternatives and assess which option aligns best with your specific circumstances and healthcare needs.


  • Original Medicare (Parts A and B) generally does not cover birth control.
  • Medicare Part D prescription drug plans may offer coverage for some contraceptives, but it varies between plans.
  • Medicare Advantage Plans (Part C) and Medicaid may provide birth control coverage.
  • Family planning clinics and state programs/resources can offer affordable alternatives for obtaining birth control.

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