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Does my insurance cover Paragard?

If you have health insurance:

Most insurance plans cover the cost of the Paragard IUD in full—this may mean: no co-pay, no deductible, and no out-of-pocket costs. Check with your insurance provider to confirm coverage related to your individual plan. Fees for the Paragard placement procedure may apply.

You can check your insurance coverage for Paragard in one of 2 ways:

  1. Request a free Paragard Benefits VerificationSM Report
    or
  2. Contact your insurance company directly

To Request an Insurance Coverage Report through our Paragard Benefits VerificationSM Service:

  1. Call 1-888-275-8596
  2. One of our benefits verification specialists will assist you in confirming coverage related to your individual plan

To Check Coverage by Contacting Your Health Insurance Company Directly

  1. Call the customer service number on the back of your insurance card.
  2. Tell them that Paragard is a healthcare provider-administered method of birth control.
  3. Ask them to check if Paragard is covered under the Affordable Care Act.
  4. Provide them with the J code for Paragard, which is J7300.
  5. Ask if you will have any out-of-pocket costs, or if Paragard is only partially covered under your plan.

If your medical insurance says that Paragard is not covered as a medical benefit, then it may be covered as a pharmacy benefit. To check if it’s covered as a pharmacy benefit, call the customer service number on the back of your prescription card.

If Your Health Insurance Doesn’t Cover Paragard or You Don’t Have Health Insurance
If you don’t have insurance, or if your insurance doesn’t cover Paragard, you may self-pay for Paragard through one of our specialty pharmacy partners.

Paragard Specialty Pharmacy Partners

Biologics by McKesson
Phone: 1-888-275-8596
Web: paragardbvsp.com

City Drugs
Phone: 1-855-988-4500
Web: citydrugs.com

  • Don’t use Paragard if you have a pelvic infection or certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease (PID).
  • If you miss a period, have persistent abdominal pain or if Paragard comes out, tell your healthcare provider (HCP). If it comes out, use back-up birth control. Continue reading