No Copay Birth Control

  1. 0
    http://abcnews.go.com/blogs/politics...e-repeal-vote/

    While Democrats on Capitol Hill were celebrating a new Obamacare contraception provision, Republicans were calling again to repeal the landmark health reform law.

    The new rule goes into effect Wednesday that will require employers to cover contraception without a co-pay, among other things, all affecting women.
    HHS Secretary appeared with Senate Democratic women on Capitol Hill and declared August 1st a “new day for women’s health in America.”

    “No woman should have to choose between seeing her doctor and putting food on the table for her family,” Sebelius said. “And now many women won’t have to make that difficult choice any longer.”

    I didn't realize that the no copay for birth control extended to all women regardless of ability to pay until last week I reordered my own oral contraceptives and was charged no copay. I called my insurance company to ask about it and was told it was because of the new provisions of the Affordable Care Act.

    Though the law went into effect last year, for some reason this was the first time my insurer didn't ask me for a copay for the medication.

    I'm really split on this. I can afford the $25 copay every three months for my birth control. Though I cannot afford to fix everything in my house, I have never had to make the choice between putting food on the table or seeing a doctor as Kathleen Sebelius is quoted as saying. I certainly would hope that a woman who really couldn't afford the $100 and change a year for birth control could get theirs for free but I feel I don't need this benefit. In fact, having health insurance in itself seems to make a person privileged these days.

    I feel that this part of the law wastes money. Is there something I'm missing? I would certainly like free mammograms and other health screenings for women who can't afford it............the problem is, those that really can't afford it are the type who don't have health insurance anyway.

    I'd prefer the benefit to be income based.

    What do you all think?

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  2. 19 Comments...

  3. 4
    I don't think income-based is the way to go. Just because someone happens to make more money doesn't necessarily mean they have more for discretionary spending, including copays for medications. Take me, for example. I'm certainly not making an obscene amount of money, but I am single with no kids. I can afford annual vacations, most of my tuition without loans, etc. Someone making more than me may have multiple children, a spouse unable to work, and aging parents who need constant care. Something as rigid as basing a copay on income doesn't take those responsibilities into account. Having a flat requirement treats all people equally.
  4. 6
    I think it would be invasive and difficult to make it income based. To do that, your insurance company would have to know how much you earn and if married, how much your spouse earns. Just enjoy being one who benefits from this change.
  5. 5
    If it's a matter of meds or food, wouldn't that apply to COPDers who can't afford their inhalers? Or diabetics who can't afford insulin?
    Young women aren't the only segment of our society that have to make tough choices about money and medications.

    Why would womens health r/t reproductive issues be more vital than the same woman who takes 5 meds for B/P?
    I'm not trying to be political. Honestly I just don't get it.
    Who decided birth control was so vital that it deserved to have co-pays eliminated?

    I don't care for a lot of young people, but I do see more than my share of old COPDers. The one constant when caring for them is the complaint about the co-pay of inhalers. Most can't afford them, or ration the doses to make them last longer. It hurts my heart and I don't view them as less important.

    I guess I just don't like it that some people get a free ride, and some don't.
    I don't begrudge women their free birth control, I just want the same for my pt who can't breathe.
  6. 3
    Imintrouble, I think that's what I was getting at. I got a $1500 bill when my daughter was rushed to the ER going into anaphylactic shock (insurance paid a lot more) I could have used the help then, you know? That situation was life threatening.

    It seems odd to me that there should be no copay for birth control but for other prescriptions that are crucial to peoples health and well being there are.
  7. 3
    Breathing is pretty essential. Having sex is not. But free birth control has guaranteed a lot of votes for Obama....hopefully some of those women can start thinking beyond just that.
    HM-8404, imintrouble, and VivaLasViejas like this.
  8. 6
    I don't like my money going towards things I don't benefit from either, but that's why I'm all for providing BC without a copay, not against it.

    First of all, everyone getting BC without a copay is still paying for with their premiums, they just aren't being charged a surcharge to use it.

    My main issue is that I see too many situations where it's very unfortunate birth control wasn't used. As a result, my money goes to pay for there welfare claims, their food stamps, their medical bills, so in order to save a lot of money (and grief) I'm more than willing to spend a little, I actually don't think doing with the copay is enough, BC should just appear at people's doorsteps.
  9. 4
    Quote from imintrouble
    If it's a matter of meds or food, wouldn't that apply to COPDers who can't afford their inhalers? Or diabetics who can't afford insulin?
    Young women aren't the only segment of our society that have to make tough choices about money and medications.

    Why would womens health r/t reproductive issues be more vital than the same woman who takes 5 meds for B/P?
    I'm not trying to be political. Honestly I just don't get it.
    Who decided birth control was so vital that it deserved to have co-pays eliminated?

    I don't care for a lot of young people, but I do see more than my share of old COPDers. The one constant when caring for them is the complaint about the co-pay of inhalers. Most can't afford them, or ration the doses to make them last longer. It hurts my heart and I don't view them as less important.

    I guess I just don't like it that some people get a free ride, and some don't.
    I don't begrudge women their free birth control, I just want the same for my pt who can't breathe.
    Psychiatric meds too......for a lot of people, they're at LEAST as essential as birth control.
  10. 6
    Our birth rate is the lowest in years, much to do with use of birth control and not relying on abstinence for prevention of unwanted pregnancy. This translates into less babies born without prenatal care, less low weight babies, an less neuro damage from being born too soon. CP costs a great deal of money over a life span. Premies are very expensive and often happen to young families who are not insured. Guess who gets to pay for all of this? Taxes. If birth control co-pays are a reason why unwanted pregnancies occur then I am all for a no co-pay system. If prevention of pregnancy continues to slow elective termination then it is a very welcome thing.

    I agree all meds need to be paid in a different manner. Huge advances have been made in the fields of pulmonary, psychiatric, and cancer meds. That, in part is due to research and development. I see no reason why big pharma has to have the fancy booths at each convention. The profit margins do not need to be so high. Their ad campaigns are very expensive. I do not get mad that they are doing research and we pay for that. I do get angry that they buy legislators to keep their big money rolling in. I do get mad that people have to choose food and housing or meds. Doctors can be a huge factor in this. Many times the extremely high costing meds are tried before the cheaper generic ones.

    I see no easy answers. We have some of the worst stats in the developed world for health care outcomes and costs. If a co-pay is no longer needed and that changes one huge statistic for cost of premie care I cannot be against that. If it continues the downward spiral of abortions that would be huge.
    Ayvah, TeenyTinyBabyRN, BCgradnurse, and 3 others like this.
  11. 3
    TOTALLY agree with that last paragraph!


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