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Cost as a barrier to long-acting reversible contraceptive (LARC) use in adolescents.

Review article
Eisenberg D, et al. J Adolesc Health. 2013.


Cost is a major barrier to adolescents' ability to obtain long-acting reversible contraception (LARC). By reviewing the available literature on this issue, we provide a framework to understand how insurance coverage, out-of-pocket expenses, parental involvement, and recent pregnancy can impact access. We provide examples of cost-free access to LARC for adolescents, such as the Contraceptive CHOICE Project. Universal coverage for contraception, without cost-sharing, could increase use of LARC among adolescents resulting in fewer unintended pregnancies, improved health outcomes, and considerable cost savings to the healthcare system.


23535059 [PubMed - indexed for MEDLINE]

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