Insurance and Medicaid

Private Health Insurance

We understand that dealing with insurance companies can be difficult particularly in times of stress. Many insurance companies cover the Mifeprex* regimen. You may wish to go to State-by-State Payer Policies for information specific to your state; however, everyone has different coverage, so it is important that you check directly with your insurance company to find out if Mifeprex is covered. For most patients, the office visits and lab tests will be covered and so will the medication. You will be responsible for any copayments or deductibles that normally apply under your health insurance policy. There is usually a number on the back of your insurance card that you can call to check on your benefits. Your doctor or clinic might also be able to help you determine what level of reimbursement your policy provides.

Medicaid

The federal Medicaid program will only provide funding for abortion in cases of rape or incest, or when the woman's life is in danger. However, some states go beyond the minimum coverage set by the federal guidelines, and fund abortions, including Mifeprex. The following states currently provide some coverage for abortion services, and you can click on a given state to get more specific information.

Alaska	Illinois	Montana	Oregon
Arizona	Maryland	New Jersey	Vermont
California	Massachusetts	New Mexico	Washington
Connecticut	Minnesota	New York	West Virginia

Since it takes time to qualify for Medicaid, you should ask about your eligibility for Emergency Medicaid. Emergency Medicaid covers pregnant women who do not have health insurance and who meet Medicaid income and asset limits. Emergency Medicaid may cover the cost of an abortion, you should check with your State Medicaid program for more information.

For resources on Medicaid funding for abortions you may wish to visit State Law Resources.

IMPORTANT SAFETY INFORMATION

Although cramping and bleeding are an expected part of ending a pregnancy, rarely, serious and potentially life-threatening bleeding, infections, or other problems can occur following a miscarriage, surgical abortion, medical abortion, or childbirth. Prompt medical attention is needed in these circumstances. Serious infection has resulted in death in a very small number of cases; in most of these cases misoprostol was used in the vagina. There is no information that use of Mifeprex and misoprostol caused these deaths. If you have any questions, concerns, or problems, or if you are worried about any side effects or symptoms, you should contact your provider.

Be sure to contact your provider promptly if you have any of the following:

Heavy Bleeding. Contact your provider right away if you bleed enough to soak through two thick full-size sanitary pads per hour for two consecutive hours or if you are concerned about heavy bleeding. In about 1 out of 100 women, bleeding can be so heavy that it requires a surgical procedure (surgical abortion/D&C) to stop it.

Abdominal Pain or “Feeling Sick”. If you have abdominal pain or discomfort, or you are “feeling sick”, including weakness, nausea, vomiting, or diarrhea, with or without fever, more than 24 hours after taking misoprostol, you should contact your provider without delay. These symptoms may be a sign of a serious infection or another problem (including an ectopic pregnancy, a pregnancy outside the womb).

Fever. In the days after treatment, if you have a fever of 100.4°F or higher that lasts for more than 4 hours, you should contact your provider right away. Fever may be a symptom of a serious infection or another problem (including an ectopic pregnancy).

Take your MEDICATION GUIDE with you. When you visit an emergency room or a provider who did not give you your Mifeprex, you should give them your MEDICATION GUIDE so that they understand that you are having a medical abortion with Mifeprex.