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If you have health problems or other risk factors, some birth control methods may not be right for you. Other health problems that might keep you from using a particular birth control method are relatively rare, especially in young women. But before using any method, talk with your health professional to see if it is safe for you.
Other things to consider when choosing a method of birth control include:. Thinking about the pros and cons of hormonal birth control methods may help you choose the one that is best for you.
After you have looked at the facts about the different methods and thought about your own values and needs, you can choose the method that will work best for you. Using condoms with any method may increase its reliability and helps to protect you from sexually transmitted infections STIs.
Are you interested in what others decided to do? Many people have faced this decision. Personal stories may help you decide. You can use emergency contraception if a condom breaks, you've forgotten a pill, you are taking other medicines that may affect contraception medicines, or you have had unprotected sex.
Emergency contraception does not protect against sexually transmitted infections. Call or other emergency services if you have:. Call your doctor now if you:. It's common to have mild headaches, mild nausea, mild breast tenderness, or irregular bleeding spotting when starting birth control. These mild symptoms should improve over time.
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Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans. Member Guide. Find a Doctor. Topic Overview Is this topic for you? The hormonal implant such as Nexplanon releases progestin to prevent pregnancy for about 3 years. It must be inserted and removed by a trained health professional. The actual implant is about the size of a matchstick and is inserted under the skin on the inside of the upper arm.
An intrauterine device IUD is a small device that is placed in the uterus to prevent pregnancy. Hormonal IUDs release a type of progestin. When an IUD is in place, it can provide birth control for 3 to 10 years, depending on the type. Hormonal methods Hormonal methods are very reliable means of birth control. Hormonal methods use two basic formulas: Combination hormonal methods contain both estrogen and progestin synthetic progesterone. Combination methods include pills "the Pill" , the skin patch , and the ring.
Progestin-only hormonal methods include pills, also called "mini-pills" and a shot such as Depo-Provera. If you can't take estrogen, a progestin-only method may be an option for you. Implants and hormonal IUDs also release progestin. Combination pills may reduce acne, pain during ovulation, and premenstrual symptoms.
Both types of pill reduce heavy bleeding and cramping. Unlike the combination pill, the progestin-only pill can be taken by almost all women, including those who are at risk for blood clots. Depending on when you start taking either type of birth control pill, you may need to use a backup birth control method for the first week. Patches or vaginal rings are similar to combination pills, but they don't require taking a daily pill.
The patch is changed weekly, and the ring is changed monthly. Some birth control pills reduce severe mood and physical symptoms that some women get before they start their monthly periods. These symptoms are called premenstrual dysphoric disorder PMDD. There are also birth control pills for women who want fewer periods or who want to stop having periods.
The birth control shot does not require taking a daily pill. In most cases, you will have to see your health professional once every 3 months for the injection. Barrier methods Barrier methods including the diaphragm; cervical cap; male condom; female condom; and spermicidal foam, sponge, gel, suppository, or film prevent sperm from entering the uterus and reaching the egg.
Fertility awareness periodic abstinence or natural family planning Fertility awareness requires that a couple chart the time during a woman's menstrual cycle when she is most likely to become pregnant and avoid intercourse or use a barrier method during that time. Permanent birth control sterilization Sterilization is a surgical procedure done for men or women who decide that they do not want to have any or more children.
Tubal ligation. Tubal ligation is a surgical procedure where the fallopian tubes, which carry the eggs from the ovaries to the uterus, are tied, cut, or blocked. In this minor surgery, the vas deferens, the tubes that carry sperm from the testicles to the seminal fluid semen , are cut and blocked so that the semen no longer contains sperm. This does not interfere with a man's ability to have an erection or enjoy sex. Men must have a sperm count check after having a vasectomy before relying on this for birth control.
Contraception following pregnancy Birth control is an important consideration after you have had a child. Choosing a Birth Control Method With so many methods available and so many factors to consider, choosing birth control can be difficult.
You may be able to decide on a method by asking yourself the following questions: Might I want to have a biological child in the future? How much effort am I willing to put into my birth control? Once it is in place you don't need to do anything. Hormone shots are needed every 3 months. Barrier methods including the diaphragm; cervical cap; male condom; female condom; and spermicidal foam, sponge, gel, suppository, or film can interrupt sex and must be used every time you have sex.
Combination pills are taken each day. Progestin-only pills must be taken at the same time each day. If you miss a pill you will need to use a backup birth control method. Patches are replaced 3 times each month. Vaginal rings are inserted into the vagina one time each month. Sterilization is intended to be permanent. How would an unplanned pregnancy affect my life?
How effective are different types of birth control? How can I prevent sexually transmitted infections? What health factors could limit my choice of birth control? If you smoke more than 15 cigarettes a day and are 35 or older or have high blood pressure, a history of stroke, a history of blood clots, liver disease, or heart disease, you may not be able to use combined hormonal methods. If you have migraine headaches, talk to your health professional about whether you can try combined hormonal contraception.
If you have advanced or long-standing diabetes, discuss the risks of taking hormonal birth control methods with your health professional. If you have just delivered a baby, the estrogen-progestin methods of birth control aren't recommended in those first few weeks. Progestin-only pills, an implant, both kinds of IUDs, or birth control shots are a good option for women who have just given birth.
What are some other considerations in choosing a birth control method? Other things to consider when choosing a method of birth control include: Health benefits, such as decreased risk of sexually transmitted infections with condoms and reduced risk of ovarian cancer and uterine cancer with use of birth control pills for one year or longer.
Over time, the higher one-time cost of IUD insertion or sterilization surgery may be less than the continued costs of buying pills or condoms and spermicide. If you are planning to become pregnant in the future. The amount of time it takes for a woman's full fertility to return after stopping birth control varies for each woman and depends on the birth control method she is using.
Risks and side effects of the method. Some birth control methods may have a greater risk of causing certain health problems. And some methods cause more side effects than others. For example, hormonal birth control can have more risks and side effects than barrier methods.
Talk to your doctor about the risks and side effects. Emergency Contraception You can use emergency contraception if a condom breaks, you've forgotten a pill, you are taking other medicines that may affect contraception medicines, or you have had unprotected sex. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
For additional information go to the Wellness page. Combining data-powered human coaching, connected devices, and curriculum tailored to your specific circumstances, the program is designed to help you build healthy patterns for life. In-Network: This level of benefits applies when you use a physician, specialist or other provider who is a member of the Cigna OAP network.
By utilizing In-Network providers, you will pay lower copayments, deductibles and coinsurance than you will using Out-of-Network providers. However, these services are available directly from Cigna. Access the benefit by providing your insurance card as you normally do to an in-network pharmacy services and procedures will not be covered out-of-network. Cigna will in turn arrange payment directly to the pharmacy.
Contact Cigna directly at for additional information. The Plan provides inpatient, intermediate and outpatient care. There is a network of Mental Health Preferred Providers for mental health and substance use disorder services.
Benefits are paid differently, depending on whether you use network or non-network providers. Participants in the plan automatically participate in the prescription drug plan. You can choose between retail and mail order options. Your prescription benefits are structured to take advantage of the savings associated with generic drugs.
With Restricted Generics, you will save the most by choosing generic drugs when available versus brand-name drugs. Visit mycigna. If you are taking maintenance prescription medication, we encourage you to review the Express Scripts Pharmacy. Express Scripts Pharmacy service begins on July 1, Cigna will automatically connect them from myCigna to the new online Express Scripts account portal. They can do this online or over the phone. Cigna Home Delivery Pharmacy. Members can sign up for mail order today by calling or through mycigna.
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May protect against ovarian and endometrial cancer. Can be used after an abortion. Patches or vaginal rings don't require taking a daily pill. Some birth control pills reduce symptoms of premenstrual dysphoric disorder PMDD. Does not protect against sexually transmitted infections or HIV. May not be as effective when taken with certain medicines. May delay return of normal cycles. Pills must be taken every day. Patches may not fully protect you from pregnancy if they are exposed to direct sun or high heat.
This can release a high dose of hormone from the patch, which leaves less for the patch to release later in the week. Patches deliver more estrogen than low-dose birth control pills do. Some research has found that women using the patch are more likely to get dangerous blood clots in the legs and lungs.
The risk may be higher if you smoke or have certain health problems. The U. Food and Drug Administration FDA suggests that you talk to your doctor about your risks before using the patch. A small number of women have some mild to moderate skin irritation from the patch. Pros and cons of progestin-only pills, implant, or shot Pros Cons No interruption of foreplay or intercourse. Fewer or no periods especially with shot or implant.
Reduced cramps and pain during ovulation. Shot reduces bleeding with periods, which lowers the risk of anemia. Reduced risk of pelvic inflammatory disease. Does not contain estrogen , so can be used by women who can't take estrogen. May be used by women over 35 who are smokers. Reduces risk of ectopic pregnancy.
May protect against endometrial and ovarian cancer. Implant gives rapid return to fertility following removal. Shot and implant are extremely effective. Shot protects for about 3 months; implant lasts 3 years. Shot reduces symptoms of endometriosis. Shot reduces frequency of seizures in women who have a seizure disorder. Shot reduces number of sickle cell crises in women who have sickle cell disease.
Shot or implant does not require taking a daily pill. Causes more irregular periods or spotting between periods. Makes diabetes more likely if you have had gestational diabetes during pregnancy. Progestin-only pills are less effective than combination pills, but the shot and implant are extremely effective.
Pills must be taken at the same time each day. Implant must be inserted and removed by a trained health professional. Implant may cause headaches. Shot may delay return of normal cycles for 6 to 8 months after the medicine is stopped.
But there is no delay with pills or implant. Shot causes slight weight gain. Shot may decrease levels of HDL "good" cholesterol. Shot can cause reversible bone mineral loss. Does not require cooperation of sex partner. It's easy to use. Even if you haven't reached your deductible, the plan must cover the services free of charge if you stay in your plan's network. Birth control is a type of preventive care. Under the Affordable Care Act of , most health insurance plans must cover the total cost of preventive care , meaning they don't charge you coinsurance or a copayment.
Cigna provides coverage for female birth control medication , sterilization, devices, products, and services without any cost-sharing requirements. In clinical studies, Kyleena was effective in preventing pregnancy. For example, the 5-year pregnancy rate for adult females who used Kyleena was 1. In other words, Kyleena prevented pregnancy for 5 years in The nonpartisan Institute of Medicine IOM recommended that birth control be covered as women's preventive care because it is fundamental to improving not only women's health, but the health of their families as well.
Because of the Affordable Care Act aka Obamacare , most insurance plans must cover all methods of birth control at no cost to you, including the pill.
Prescription Medications Covered by Your Health Plan | Cigna Home Individuals & Member Guide Prescription Drug Lists and Coverage Prescription Drug Lists and Coverage Find . Nov 29, · Does Cigna Insurance Cover Birth Control Is birth control supposed to be covered by insurance? If you have a marketplace health plan, the insurer must cover birth . Feb 23, · Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna .