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levonorgestrel and ethinyl estradiol Medicare Coverage in Georgia

100%
of plans in Georgia
cover levonorgestrel and ethinyl estradiol
124 of 124 plans
$0.65
Avg 30-day copay in Georgia
30
Plans shown below

Medicare Plans Covering levonorgestrel and ethinyl estradiol in Georgia

Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.

Plan Name Monthly Premium Tier 30-day Copay Stars Restrictions Action
Humana Gold Plus Giveback H4141-022 (HMO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PruittHealth Premier Advantage (HMO I-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CareSource Dual Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-347 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple Open (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Elite (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H4141-023 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete GA-D2 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-207 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H7617-092 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Full Dual Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CareSource Dual Advantage Plus (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Elite Giveback (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Elite (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-421 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Medicare Advantage GA-2 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H4141-024 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete GA-D2 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Together in Health (PPO I-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H7617-093 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5216-154 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Elite (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care GA-3 (PPO C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H4141-025 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Georgia Plans for levonorgestrel and ethinyl estradiol

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Frequently Asked Questions

100% of Medicare Part D plans in Georgia cover levonorgestrel and ethinyl estradiol. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for levonorgestrel and ethinyl estradiol in Georgia is $0.65 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Humana Gold Plus Giveback H4141-022 (HMO) offers one of the lowest copays for levonorgestrel and ethinyl estradiol in Georgia. Enter your ZIP code to see all plans and compare total annual costs including premiums.

levonorgestrel and ethinyl estradiol Coverage in Other States

Click any state to see the plans and costs available there.

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for levonorgestrel and ethinyl estradiol

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