You or your health care provider will need to check with your insurance provider to determine whether your plan will cover IMPLANON.
If covered by your insurance provider, IMPLANON may be covered as a medical benefit or as a pharmacy benefit. Medical benefits may provide coverage for in-office services, including products that are inserted and/or removed while in the office. If IMPLANON is not covered as a medical benefit, it may be covered as a pharmacy benefit, which may provide coverage for prescription drugs.
After you and your health care provider have determined that IMPLANON is an appropriate option for you, you can start your research by finding out if IMPLANON is covered as a medical benefit:
Call the customer service number listed on the back of your health insurance card. Be sure to write down the names of any people you speak with.
Tell the representative that IMPLANON is a physician-administered drug (not a device) and that your physician:
Will be prescribing IMPLANON
Will order IMPLANON for you
Will insert IMPLANON during an office visit
Ask the representative if IMPLANON is covered.
If the answer is no, ask if IMPLANON is covered as a pharmacy benefit.
To get information about your pharmacy benefit, you may have to call another number (such as the pharmacy customer service number on the back of your health insurance card) and speak to a different person.
Repeat steps 1-3.
Ask the representative whether IMPLANON and the insertion procedure are 100% covered. If it’s not, ask about other costs you may have.
Ask the person to send verification of coverage to your health care provider, if possible.
If written verification cannot be provided, write down the name of the person you spoke with and tell your health care provider that IMPLANON is covered.
Make an appointment with a trained health care provider to have IMPLANON inserted.
Be sure to contact your health care provider and let him or her know what you’ve learned about your coverage.