Drug Cost & Insurance

Does Health Insurance Cover Birth Control in Every State?

Linda Girgis | MD

Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 20th, 2026.

Yes, health insurance must cover birth control in all states under the Affordable Care Act. Federal law requires most insurance plans to cover FDA-approved contraceptive methods without copayments or deductibles. However, religious exemptions allow some employers and organizations to exclude contraceptive coverage from their health plans. Additionally, grandfathered plans from before 2012 may not include this coverage requirement. Over 99% of women aged 15-44 who have ever been sexually active have used at least one contraceptive method, making this coverage crucial for reproductive health access.

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