Submitting claims and receiving appropriate reimbursement for LARC methods, as well as receiving payment for associated services such as counseling, placement, and removal, are important means of supporting the continued ability of providers to offer LARC methods to patients. The high up-front costs of these LARC methods can challenge cash flow if reimbursements are not received in a timely manner. The information in this section will assist offices in setting up systems that can help improve reimbursement processes for supplies (drugs or devices) and payment for services (counseling, placement, and removal).
Note: LARC methods are most commonly included as a medical benefit in health insurance plans. However, some plans may cover LARC methods as a pharmacy benefit, which may affect a provider’s ability to submit claims for the methods. See the section on stocking for more information on medical vs. pharmacy benefits.