What you need to know about SCOTUS, the Affordable Care Act, and the impact on contraceptive access…
What you need to know about contraception in 2020:
- Obtain it before the ACA is revoked.
- In some states you can get a year’s worth of supply.
- Get some prescription emergency contraceptives too!
- How can you help protect access to contraception?
- There are new rings, new patches, new progestin-only pills.
If you have a uterus and have reached reproductive age, it is advisable to consider getting an IUD or implant now... why? November 10th, US Supreme Court (SCOTUS) California vs TexasACA (Affordable Care Act) may be unconstitutional.
How does it relate to contraceptive access? Under the ACA, all FDA-approved contraceptive methods for those who have a uterus should be covered “free”. In other words, there are no out-of-pocket payments or deductions. However, this may end if SCOTUS disables ACA.
ACA’s contraceptive obligations have saved women and their families millions of dollars. It is estimated that the ACA contraceptive obligation came into effect in the first year. Save $ 1.4 Billion for Women.. “The average pill user saved $ 254.91 a year.” Prior to ACA, out-of-pocket costs for contraception accounted for 30-44% of women’s out-of-pocket medical costs. After ACA, women can spend the money on rent, meals, etc. Increasing access to contraception reduces abortions and unplanned pregnancies and improves financial opportunities and education for women and their families.
If you are using oral contraceptives, patches, or rings, 17 states know that you can get one year of contraceptives at a time, so consider getting as many contraceptives as you can.By law, these states Need insurance to provide a one-year supply of oral contraceptives At once: California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, Nevada, New Hampshire, New York, Oregon, Road Island, Vermont, Virginia, Washington. Contact the prescribing person and write down the supply for one year. Tell your provider that it’s a law in your state. (You can request 13 or 17 packs of tablets, 13 rings, or 39 or 52 patches.)
If you are having trouble getting a year’s worth of supply because your insurance has been denied, call the insurance and say “it’s a law”. If that doesn’t work, CoverHer.org, A project of the National Women’s Justice Center. They have sample scripts and letters you can write to discuss with your insurance company.
If you have a uterus and have reached reproductive age, get a prescription emergency contraceptive now. Again, ACA is “free” as it is not subject to out-of-pocket payments or deductions. Prescription emergency contraception (Ella) works better When compared to Plan B and its generics, BMI is 26-35 at all times.If you have a BMI of 26 or above, know it Plan B and its generics probably won’t workSo please Check your BMI..
What if I support someone with a womb who has access to “free” (no out-of-pocket, non-deductible) contraception?
Tell SCOTUS: #KeepTheACA #SaveTheACA. Chief Justice of the Supreme Court John Roberts is known for accepting public opinion and does not want to go down in history as the Chief Justice of the Bad Supreme Court. So protest, join social media and clarify it. ACA benefits the general public and we want to keep it.
Tell insurance companies and state officials: Covering contraception is financially wise and morally correct. Therefore, even if the ACA is overturned, there is nothing to prevent insurers from offering out-of-pocket or non-deductible contraception, and politicians and elected civil servants have passed legislation requiring “free” compensation. There is nothing to prevent you from doing so. It’s much cheaper to cover contraception than to pay for an unplanned pregnancy. It costs $ 800 for an abortion, $ 10,000 for a vaginal delivery, and $ 40,000 for a Caesarean section. This does not include prenatal care, child visits, ultrasonography, lab tests, etc. For every $ 1 the government spends on contraception, you can save $ 7 on medical expenses.
Praise to 29 states and Washington, DC that require contraceptive coverage. Praise to 16 states and Washington, DC that have passed legislation to maintain contraceptive obligations even if the ACA is revoked.Check your condition here..
Long-acting reversible contraception (LARC) and permanent contraception / sterilization are costly but effective.
IUDs / implants can cost $1300If you are considering it, get an IUD or port it now.If you are thinking about permanent contraception, tubal ligation can cost up to $ $6000Vasectomy is only $1000 It is much less invasive and more effective.
For each Contraceptive Technology 2018, the graph below provides general failure rate statistics for these options.
|19-20 mcg IUD (Liletta, Mirena) containing hormones||1/1000||5-7 years old|
|Implant||1/1000||3-5 years old|
|Vasectomy *||1.5 / 1000||eternally|
|17.5mcg IUD (Kyleena) containing hormones||2/1000||5 years old|
|14mcg of IUD (Skyla) containing hormones||4/1000||3 years old|
|Copper IUD||August 1000||10-12 years old|
* Not covered by ACA, but covered by Illinois, Maryland, New Jersey, New Mexico, New Mexico, Oregon, Vermont, and Washington.
Click for more information on these methods here..
Hormonal IUDs result in less menstruation (70% of users) or no menstruation (30%). Copper-added IUDs cause more cramps and more blood loss, but are a good option if you can’t use anything with hormones (that is, if you have heart disease, thrombotic disorders, etc.). Talk to your doctor first.
What are the new features of contraception?
There are new contraceptive vaginal rings, patches, and progestin-only pills.
The new vaginal ring is Annovera carrying a new progesterone Segesterone And a very low dose of estrogen (13 mcg per day). The benefits of the new progesterone segesterone are the absence of androgen side effects such as acne, the effects of blood lipids, and hairiness.
However, this method may not be optimal for people under the age of 30. The concern is that this estrogen level can adversely affect women under that age. Stanford’s pediatric endocologists, pediatric adolescent gynecologists, and adolescent medicine doctors recommend at least 30 mcg of estrogen for oral contraceptives. This is because studies have shown that lower levels result in lower bone mineral density.
Annovera is placed in the vagina for 21 days and then out of the body for a week (during which the user experiences withdrawal bleeding). Not tested for continuous use (skip period).
The cost without insurance is about $ 2000 Insured and ACA-based costs must be “free” (no out-of-pocket, non-deductible).
Before trying Annovera, it’s a good idea to try a one-month ring (NuvaRing, EluRyng) to see if you like the vaginal ring.
The new contraceptive patch is called TWIRLA. Contains levonorgestrel and ethinyl estradiol. Women use one patch per week for 3 weeks, after which the patch is not needed in the 4th week (during which withdrawal bleeding occurs).
Note: If your BMI is 25-30, it may not work.When If your BMI is 30 or higherThe manufacturer does not recommend using it for the following reasons:
1. That doesn’t work either
2. Increased risk of blood clots.
The concern about patches is that previous studies have shown a risk of developing blood clots. [venous thromboembolism (VTE)] teeth Double the chance with a patch Than standard oral contraceptives. This is believed to be due to the fact that hormones pass through the skin and do not have to pass through the stomach.
The advantage of this patch is that it is slightly less estrogen (30 mcg compared to the 35 mcg Xulane patch). However, users may have higher blood levels than oral contraceptives. The The main side effect I noticed is tenderness in the breast Compared to oral contraceptives, this was similar to oral contraceptives one month later.
There is also a new progesterone-only pill (POP): Slynd. The advantage of this tablet is that it has a window of much more forgiving effect. For most POPs, refrain from having heterosexual sexual intercourse if you are 3 hours late, or use a backup for the next few days and urgently if you have had heterosexual sexual intercourse in the last 3 days. You need to use contraceptives. However, Slynd has a 24-hour dosing period, like “normal” oral contraceptives containing estrogen and progesterone. The main drawback of Slynd is cost. Monthly $ 193- $ 268 Against conventional oral contraceptives $ 15 per month Or other POP from $ 8 to $ 30 per month.. Also, Slind’s progesterone is drospirenone, which is not suitable for people with kidney problems. In general, it has a diuretic effect and can cause headaches if you don’t drink enough water, so I like to allow patients to drink 8 glasses of water a day.
For more information on available contraceptive options, please visit: Pandia Health..
Dr. Sophia Yen Pandia HealthOnly # WomenFounded, # WomenLed, # DoctorLed Contraceptive Delivery Company.