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Is Kyleena covered by insurance? | How much does Kyleena cost without insurance? | How to get Kyleena without insurance
Kyleena is a brand-name progestin-releasing intrauterine device (IUD). By steadily releasing levonorgestrel, it prevents ovulation and pregnancy. Inserted into the uterus by a healthcare professional, Kyleena provides birth control for up to five years. Without insurance, Kyleena is expensive. There are also additional costs to place or remove the device. However, when these costs are averaged out over five years, Kyleena’s monthly cost is comparable to birth control pills. Still, there are several ways to reduce the initial up-front cost of the device.
Is Kyleena covered by insurance?
As mandated by the Affordable Care Act, FDA-approved birth control methods like Kyleena should be covered by commercial health insurance and Medicaid plans. That doesn’t mean every option is covered by every plan, but 95% of insured people have coverage for Kyleena or other IUDs. Medicare, however, does not cover Kyleena or any other IUD.
How much does Kyleena cost without insurance?
Without insurance, Kyleena costs about $1,414 for the device itself. Procedures and office visits add to the total cost. When you consider that Kyleena provides birth control for up to five years, the cost of the device works out to about $24 per month. That’s comparable to the cost of generic birth control pills. Commercial health insurance can reduce that cost even further. The actual out-of-pocket cost for the Kyleena device will depend on the health insurance plan’s formulary, deductible, cost-sharing policy, and copay.
Kyleena is currently the most expensive IUD on the market. Other progestin-release IUDs (Mirena, Liletta, or Skyla) cost a little less up front. Mirena is approved to prevent pregnancy for seven years, Liletta for six years, and Skyla for three years. Paragard is a non-hormonal IUD that lasts up to 10 years. All IUDs, however, are brand-name medical devices that cost over $1,000. There are no generic or over-the-counter alternatives.
Compare Kyleena prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Kyleena (levonorgestrel IUD) |
$1,414 per intrauterine device | $1,037 per intrauterine device for brand-name Kyleena | See updated prices |
| Liletta (levonorgestrel IUD) |
$1,174 per intrauterine device | $847 per intrauterine device for brand-name Liletta | See updated prices |
| Skyla (levonorgestrel IUD) |
$1,285 per intrauterine device | $865 per intrauterine device for brand-name Skyla | See updated prices |
| Mirena (levonorgestrel IUD) |
$1,303 per intrauterine device | $1,037 per intrauterine device for brand name Mirena | See updated prices |
| Paragard (copper IUD) |
$1,123 per intrauterine device | $938 per intrauterine device for brand-name Paragard | See updated prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs. The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see updated drug prices.
How to get Kyleena without insurance
The up-front cost of Kyleena or any other intrauterine device can be hard to manage without insurance. Bayer’s patient assistance program or the occasional manufacturer’s coupon or rebate may be helpful, but not everyone meets the eligibility requirements for patient assistance, and coupons and rebates are rarely offered.
If the up-front cost of an IUD is too prohibitive, other birth control methods include birth control pills, implants, transdermal patches, hormone shots (such as Depo-Provera), vaginal rings, and condoms. Not all methods of birth control are equally reliable. And different methods work better with certain health conditions or lifestyle needs. If an IUD is the birth control method that is right for you, there are ways to save money, starting with a SingleCare prescription discount card.
1. Use a SingleCare discount card
Usually, IUDs are purchased by a healthcare professional from specialty pharmacies. If Kyleena can be purchased from a regular pharmacy, a free coupon from SingleCare can save money at participating pharmacies. A SingleCare savings card can reduce the price of Kyleena by as much as $400 off the average retail price.
2. Visit Planned Parenthood or other community clinics
Kyleena and other IUDs and birth control methods are offered at low cost or even for free at community clinics and reproductive health clinics such as Planned Parenthood.
3. Visit a 340B provider
Kyleena is typically purchased by the healthcare professional that implants the device. This can be done at a clinic or hospital that is designated as a 340B provider. A 340B provider can purchase drugs at a very low price and pass on the savings to patients. Get a list of 340B providers from a healthcare provider or local healthcare officials.
4. Enroll in Medicaid
According to the Kaiser Family Foundation, most states will cover all IUD costs including procedures and office visits. Each state provides a website with eligibility criteria, enrollment instructions, and additional information.
5. Consider other types of birth control
Visit a healthcare provider or a reproductive health clinic to get medical advice about the pros and cons of all birth control options.
