She Strengthens

Taking Control of My Reproductive Health

After the election, I felt an overwhelming sense of uncertainty. One thing I knew I could control, however, was my reproductive health. I decided to take a proactive approach and scheduled an appointment to get an IUD.

The Unexpected Reaction

When I called my doctor’s office, the receptionist’s response surprised me. She wasn’t dismissive or mocking, but rather sad and rueful. She informed me that I was the fifth woman to call that day to make an appointment for IUD placement. The office was booked for the next month, but she managed to squeeze me in on December 31st.

The Cost of Birth Control

I had been on extended-cycle pills for four years, but the thought of having to pay out-of-pocket for my birth control was daunting. I calculated that it would cost me $881 per year. This motivated me to explore alternative options, including the IUD.

Researching My Options

I spent weeks researching different types of IUDs and contacting my parents’ insurance company to ensure that my choice would be covered. I decided on the Mirena, a five-year hormonal IUD that was fully covered by my plan.

The Appointment Process

I had my annual well-woman visit scheduled for early December, and I asked my doctor to add an IUD consultation onto the visit. The receptionist advised me that a consultation was required, which involved discussing my medical background and measuring my uterus with a sounding device to ensure the IUD would fit.

The Hidden Costs of Healthcare

One of my concerns was the potential for hidden out-of-pocket costs. I worried about incorrect coding, out-of-network labs, and unexpected bills. However, I couldn’t find detailed information about the actual costs of an IUD placement.

Breaking Down the Costs

To help others who may be considering an IUD, I’ve outlined the costs associated with my procedure:

• Consultation Visit:
  • Pap Smear (Lab): $90
  • HPV DNA Test (Lab): $77
  • Chlamydia Test (Lab): $77
  • First Office Visit (IUD consultation, uterus measurement): $137
• Placement Visit:
  • Mirena: $868
  • Placement Procedure: $147
  • Second Office Visit (the office visit charge for the procedure): $137
• Three Month Follow-up/String Check: $0 (at my college’s free clinic)

Total: $1533

Eight Months Later

Thanks to my family’s generous insurance policy and the ACA requirements for insurance coverage of birth control methods, I didn’t pay for any of this out-of-pocket. I’m grateful for my privilege and access to healthcare.

A Reminder to Keep Fighting

My IUD has given me a sense of freedom and control over my reproductive health. It’s a daily reminder that I need to continue advocating for affordable care for women.