The contraceptive coverage guarantee of the Affordable Care Act (ACA) requires that privately insured women receive insurance coverage for US Food and Drug Administration (FDA)–approved contraceptive methods, sterilization procedures, and patient education and counseling without any out-of-pocket costs. Medicaid recipients have been excluded from this requirement. This coverage must encompass the clinical visit, services needed for provision of contraception, follow-up and management of adverse effects, counseling for continued adherence, and device removal.1