Does medicare cover twirla?

Short answer: it depends on your specific Medicare plan.

What this means
- If you have Medicare Part D (the prescription drug coverage) or a Medicare Advantage plan with prescription drug coverage, Twirla could be covered if your plan’s formulary includes it.
- Coverage and out-of-pocket costs vary by plan. Some plans may cover Twirla with a copay or coinsurance, others may not cover it at all.
- If it’s not covered, you might still be able to get a different contraceptive that your plan covers, or you’d pay the full price for Twirla.

How to check
- Use the Medicare Plan Finder (Medicare.gov) to look up your specific Part D plan or Medicare Advantage plan and search for Twirla (the ethinyl estradiol/levonorgestrel patch) in the formulary.
- Call your plan’s member services to confirm whether Twirla is covered and what your costs would be (deductible, copay/coinsurance, and any coverage phases).
- If Twirla isn’t covered, ask about covered alternatives (other patches, pills, rings, etc.) or about any possible exceptions.
- If you’re dual-eligible for Medicare and Medicaid, coverage may differ and could be more favorable.

If you want, tell me your plan name (e.g., the exact Part D plan or Medicare Advantage plan) and I can help you interpret the formulary info or guide you on next steps. For immediate help, you can also call 1-800-MEDICARE.