Mirena Cost and Insurance Support
We've got you. You may be able to get Mirena® for little to no out-of-pocket costs.
Even if you still have high out-of-pocket costs with your insurance, or if you don’t have insurance, there may be ways to get help paying for Mirena. Read on to learn more about Mirena IUD cost, insurance coverage information, and resources available to support you.
We've got you. You may be able to get Mirena® for little to no out-of-pocket costs.
At Bayer Women’s Healthcare, we believe that every woman should have the right to decide what’s best for her body and her future. We are committed to the reproductive health of women, and we work hard to ensure that every woman can feel empowered and confident when it comes to her reproductive decisions and health. This means supporting every woman’s access to effective birth control. So even if you still have high out-of-pocket costs with your insurance, or if you don’t have insurance, there may be ways to get help paying for Mirena. Read on to learn more about Mirena IUD cost, insurance coverage information, and resources available to support you.
How much will Mirena cost me?
95% of women were covered for a Bayer IUD, like Mirena, with little or no out-of-pocket costs (based on past benefit investigation submissions to Bayer in 2017).
The Affordable Care Act (ACA) generally requires health plans to cover FDA-approved birth control, including intrauterine devices (IUDs), at low or no cost to the patient (eg, co-payment, coinsurance). Depending on the specific health insurance plan, patients may still be responsible for the cost of the product and/or product-related costs, such as insertion or removal procedure fees.
How to check if your insurance will cover Mirena
You may be able to get Mirena with no out-of-pocket cost.
Follow these steps to check:
- Call the phone number on the back of your insurance card
- Tell them that Mirena is a healthcare provider‐administered method of birth control
- Ask them to check if Mirena is covered at no cost* under the Affordable Care Act
- Provide them with the J code for Mirena: J7298; and the Current Procedural Terminology (CPT) code for Mirena placement: 58300
- Ask if you will have any out-of-pocket costs, or if Mirena is only partially covered under your plan
*Please note: Other product-related costs may apply.
If you need help understanding your insurance coverage, visit CoverHer.org.
The Co-pay Savings Program for Mirena
Have health insurance but still have high out-of-pocket costs for Mirena? The Co-pay Savings Program for Mirena may help! Eligible patients may be able to pay as little as $20 out of pocket for Mirena.
*Eligible patients may pay as little as $20 for the cost of the Mirena IUD. Benefit limitations apply. For full terms and conditions please reference copayformirena.com. Patients who are enrolled in any type of government insurance or reimbursement programs are not eligible. As a condition precedent of the co-payment support provided under this program, e.g., co-pay refunds, participating patients and pharmacies are obligated to inform insurance companies and third-party payers of any benefits they receive and the value of this program, and may not participate if this program is prohibited by or conflicts with their private insurance policy, as required by contract or otherwise. Void where prohibited by law, taxed, or restricted. Patients enrolled in the Bayer US Patient Assistance Foundation are not eligible. Bayer may determine eligibility, monitor participation, equitably distribute product and modify or discontinue any aspect of the Co-pay Savings Program for Mirena at any time, including but not limited to this commercial co-pay assistance program.
No insurance? Bayer may be able to
help
The Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get Bayer prescription medicines at no cost. Please contact the program at 1-866-228-2BUSPAF (228-7723) Monday–Friday, 8:30 AM–5:00 PM ET, or visit the foundation website for information to see if you may qualify for assistance.
If you have Medicaid
All Medicaid programs are required to cover family planning services without cost-sharing. State coverage decisions and patient out-of-pocket costs can vary. Most Medicaid patients have no out-of-pocket expense for the Mirena IUD.
QUESTIONS ABOUT MIRENA?
Call 1-888-84-BAYER (1-888-842-2937), 8:30 AM–8:00 PM ET, Monday–Friday
INDICATIONS FOR MIRENA
Mirena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 8 years. Mirena also treats heavy periods for up to 5 years in women who choose intrauterine contraception.
IMPORTANT SAFETY INFORMATION
- If you have a pelvic or genital infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
- If you have persistent pelvic or stomach pain, or excessive bleeding after placement, tell your healthcare provider (HCP). If Mirena comes out, call your HCP and avoid intercourse or use non-hormonal back-up birth control (such as condoms or spermicide). Mirena may go into or through the wall of the uterus and cause other problems.
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Pregnancy while using Mirena is uncommon but can be life threatening and may result in loss of pregnancy or fertility.
- Ovarian cysts may occur but usually disappear.
- Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. Periods over time usually become shorter, lighter, or may stop.
Mirena does not protect against HIV or STIs.
Only you and your HCP can decide if Mirena is right for you. Mirena is available by prescription only.
For important risk and use information about Mirena, please see Full Prescribing Information.
