Where to get free or low cost birth control: What to know

Health insurance may cover birth control and other sexual health services. Some family planning clinics and public health offices may provide free or low cost options for those without insurance. Also, people with lower incomes may be eligible for reduced-cost birth control through programs such as Medicaid.
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According to the Centers for Disease Control and Prevention (CDC), 65.3% of women ages 15–49 in the United States used birth control between 2017 and 2019.
Centers for Disease Control and Prevention
The Affordable Care Act, informally known as Obamacare, requires most health insurance plans cover birth control and associated expenses, such as doctor’s visits.
Affordable Care Act
There may be other ways to access free or low cost birth control for people without health insurance.
This article describes the different types of birth control, how to access free or low cost options, and when to see a doctor for advice.
Different types of birth control 
There are many varieties of prescription and over-the-counter birth control, including:
barrier methods, such as condoms
barrier methods
spermicide
spermicide
hormonal contraception
emergency contraception
emergency contraception
intrauterine devices (IUDs) and other implanted devices
intrauterine devices (IUDs)
permanent sterilization
Anyone interested in hormonal methods of birth control may need to make an appointment with a healthcare professional for a prescription.
Learn more about the different types of birth control here.
Learn more about the different types of birth control here.
Barrier birth control methods include over-the-counter (OTC) products, such as condoms. The only types of barrier birth control that require a doctor’s visit are the diaphragm and the cervical cap.
condoms
diaphragm
Barrier methods are generally less effective than other forms of birth control. Failure rates for popular barrier methods range from 13% for condoms to 27% for the sponge. People who have been pregnant may find the sponge less effective than people who have never been pregnant.
13%
27%
sponge
Intrauterine devices (IUDs) are T-shaped devices that a doctor inserts into the uterus. The devices may be nonhormonal and made from copper, or hormonal and made from plastic.
According to the CDC, a person can use the same IUD for 3–10 years, depending on the type. The CDC also reports that the failure rate for IUDs is less than 1%.
CDC
Other hormonal methods of birth control include:
Oral contraception: There are two main types of birth control pill; a combination pill containing estrogen and progestin, and a progestin-only pill. A person must take the pill at around the same time every day. The pills are around 93% effective if a person uses them exactly as instructed.
Oral contraception
estrogen
progestin
93%
The patch: This adhesive patch contains a combination of hormones. A person applies it to their lower abdomen or buttocks and changes it once a week for 3 weeks of the month. In the 4th week, a person does not wear the patch so menstruation can occur. This method is 93% effective.
The patch
menstruation
93%
The ring: A person puts the ring into their vagina, then changes it once a week for 3 weeks of the month. This method is 93% effective.
The ring
93%
The implant: The implant is a small, rod-shaped device that a healthcare professional inserts beneath the skin of the upper arm. A person undergoes this procedure in a doctor’s office. The implant releases hormones and is 99% effective for up to 3 years.
The implant
99%
Birth control injections: A healthcare professional injects progestin into the upper arm or buttocks every 3 months. This method is 96% effective.
Birth control injections
96%
Emergency contraception is available in different forms. A person may use it if their primary birth control method fails or if they have had sex without using contraception.
Emergency contraception
In the United States, emergency contraception is available as levonorgestrel (Plan B) and ulipristal (Ella). Both pills contain hormones. It is also available as the Paragard IUD. Some of these options are available without a prescription.
Plan B
Ella
Paragard
Learn about buying emergency contraception online.
Learn about buying emergency contraception online.
Permanent birth control methods are surgical procedures that people sometimes call “sterilization.”
A person with female reproductive organs can have a tubal ligation, in which a surgeon ties, off, cauterizes, or removes the fallopian tubes.
tubal ligation
A person with male reproductive organs can have a vasectomy, in which a surgeon blocks or cuts the vas deferens tubes that supply the semen with sperm.
vasectomy
Both male and female sterilization procedures have less than a 1% failure rate.
1%
Factors that affect access to free birth control 
Many factors can influence access to free birth control, including:
the person’s preferred method of birth control
insurance coverage
whether a person’s employer has an exemption so that its health insurance does not need to cover the cost of birth control, such as for religious reasons
access to family planning clinics and public health offices providing free or low cost options
The American College of Gynecologists recommends considering the following before settling on a type of birth control:
American College of Gynecologists
how effective the method is
how easy the method is to use
whether the method requires a prescription
whether the method protects against sexually transmitted infections (STIs)
sexually transmitted infections (STIs)
any ongoing health conditions or health-related factors that may be relevant
A healthcare professional can discuss a person’s options and help them choose an appropriate birth control method.
Types of birth control available for free with insurance
Under the Affordable Care Act, U.S. health insurance plans must cover the costs of FDA-approved birth control methods, alongside birth control counseling and education.
Affordable Care Act
Specifically, the Affordable Care Act requires that plans cover the costs of:
barrier methods
hormonal methods
IUDs and other implanted devices
emergency contraception
female sterilization procedures
patient education and counseling
However, insurance plans do not have to cover either of the following:
medications that induce abortion
services related to the male reproductive system, such as vasectomies
How and where to get free birth control
The logistics of acquiring free birth control depend on the kind of birth control a person wants and whether they have health insurance.
Some types of birth control require a prescription. The cost of the doctor’s appointment may also be covered if a person has insurance through the Health Insurance Marketplace or an employer that does not have a religious exemption.
Health Insurance Marketplace
At the appointment, a person discusses their preferred method of birth control with a doctor. The doctor carries out an examination, asks some questions, and may write the prescription. Some healthcare facilities may be able to provide birth control right away.
For people without insurance, the following places may offer options for low cost birth control:
Community and nonprofit clinics: These offer low cost or free contraceptives and family planning. Some clinics offer this service due to government funding through Title X. People can find a local Title X clinic through the Office of Population Affairs’ clinic finder.
Title X
Office of Population Affairs’ clinic finder
Federally Qualified Health Clinics (FQHCs): These provide healthcare on a sliding scale, though not all FQHCs offer reproductive care. People can use the Health Resources and Services Administration website to find their closest FQHC and see which services it offers.
Health Resources and Services Administration website
Planned Parenthood: Healthcare professionals at Planned Parenthood centers can help people find the type of birth control that suits them best, and some centers provide low cost reproductive health services.
Planned Parenthood
University health centers: These may provide free or low cost options.
Other options for people with low incomes
In the U.S., people with low incomes may qualify for healthcare under Medicaid. This is a jointly funded state and federal program that helps reduce the cost of healthcare for people who:
Medicaid
have a low income
are pregnant
have certain health conditions and disabilities
According to Medicaid, the organization provides coverage for more than 81 million people in the country.Learn who is eligible for Medicaid and how to apply here.
more than 81 million
Learn who is eligible for Medicaid and how to apply here.
The birth control methods that Medicaid covers vary from state to state. The state’s Medicaid office can provide more specific information.
If a person is not eligible for Medicaid, they can check for free or low cost healthcare options with their nearest:
public health department
community or nonprofit clinic
Planned Parenthood branch
university health center
Learn how Medicaid is different from Medicare here.
Learn how Medicaid is different from Medicare here.
Accessing affordable birth control online
People can purchase birth control online by registering with a telehealth company. Some companies offer a consultation with a doctor who issues a prescription. The company may then send the prescription to a local pharmacy. Alternatively, they may send the medications to the person’s home.
birth control online
Learn more about purchasing birth control online.
Learn more about purchasing birth control online.
A telehealth consultation may be less expensive than a doctor’s visit. However, telehealth companies can only provide birth control that people can use without medical assistance, such as barrier methods or the pill. A person may need to see a healthcare professional in person to receive other forms of birth control, such as an IUD, diaphragm, or implant.
The following are a selection of telehealth companies that offer birth control:
Nurx: To order birth control from Nurx, a person must sign up on the company’s website or through its iOS or Android apps. The person then pays for an online consultation, which ranges from $15–60. If the doctor prescribes birth control, the person receives a 3-month supply with automatic refills. Learn more about Nurx here.
Nurx
Learn more about Nurx here.
Favor: Formerly called Pill Club, this company accepts customers with and without health insurance. People with insurance receive free virtual consultations, prescription refills, and generic Plan B and condom add-ons. Those without health insurance can choose from a 1-year or 3-month supply of birth control. Learn more about Favor here.
Favor
Learn more about Favor here.
Planned Parenthood Direct: This is an iOS and Android app. Depending on a person’s state of residence, they can use it to receive prescriptions for birth control or emergency contraception at their local pharmacy.
Planned Parenthood Direct
Some clinics also offer telehealth consultations for new and existing patients to discuss birth control. People can access these using mobile devices.
Learn more about where to get birth control online here.
Learn more about where to get birth control online here.
Calculating costs
The table below describes factors to consider when comparing different birth control methods:
birth control methods
Does insurance cover vasectomies?
Under the Affordable Care Act, most health insurance providers must cover birth control costs, but this does not include vasectomies.
Affordable Care Act
However, Planned Parenthood reports that many insurance companies cover some or all of the vasectomy costs.
Planned Parenthood
Medicare Parts A and B do not cover vasectomies because the plan considers them elective procedures. However, some Medicare Advantage plans may cover some or all costs.
do not cover
When to see a doctor
Sexually active people may wish to discuss their birth control options with a healthcare professional who can:
describe the range of contraceptives
make recommendations
provide STI screening
A person should contact a doctor about birth control if:
they want to use a hormonal method, an IUD or are considering surgical options
they have been using birth control and would like to change their method
they experience sudden changes to their menstrual cycle, or other new or concerning symptoms
they have been using birth control and are now considering pregnancy
they think they may be pregnant
Frequently asked questions
Below are answers to some frequently asked questions about free or low cost birth control:
The cheapest type of birth control depends on many factors, including a person’s insurance coverage and access to free or low cost options.
Also, people must consider whether they prefer lower monthly payments or a larger up-front cost. For example, the pill can cost around $10–20 per pack and lasts about a month, making the yearly cost $120–240. For comparison, an IUD may cost up to $1,300 and last up to 10 years, resulting in a yearly cost of $130.
The birth control method with the lowest up-front cost is male condoms. However, these are only 87% effective at preventing unintentional pregnancy, whereas IUDs are 99% effective, and the pill is 93% effective.
87%
People who do not have insurance can sign up for a telehealth service or visit a local nonprofit, community, or university clinic. Some of these may be called “Title X” clinics or “FQHCs.” We provide links and more specific information above.
A telehealth consultation may be cheaper and more convenient than a doctor’s visit, and some companies offer automatic refills. However, not all types of birth control are available via these services.
The Affordable Care Act, also known as Obamacare, mandates that most insurance companies must cover the costs of FDA-approved birth control.
Affordable Care Act
However, a person should check their insurance plan before choosing a method of contraception.
When choosing a method of birth control, a person should consider the following:
whether they have insurance coverage
the cost, for people with no or incomplete coverage
whether the method will be long-term or short-term
whether the method will be reversible or permanent
whether the method protects against STIs
A healthcare professional can describe the available options and make recommendations.
Summary
There are many types of birth control. Some require a prescription or in-office medical procedure.
In the U.S., many people have access to free birth control through the Affordable Care Act and their health insurance plans.
People without insurance may be able to access free or low cost birth control at a local nonprofit, community, or university clinic. Some of these may be called Title X clinics or FQHCs. Coverage through Medicaid may also be an option.