Last week we began our discussion of contraception options in Israel. We introduced the main options for hormonal methods. Now, let’s review our longer-term methods, that can include hormones.
The most popular LARCs, or long acting reversible contraceptives as they are referred to in the field, are IUDs (intrauterine devices); small copper devices (of various sizes and shapes) that are fit inside the uterus, and prevent pregnancy. These devices can also hold hormones inside, and release them over time. Technically, the IUD is not covered in the basket of services, and one must pay full price. However, most of the health services offer a subsidized option.
According to the Ministry of Health, as of April 2017, the kupah is able to charge an additional 291 shekels for insertion of the IUD. As of October 23, 2017, these are the following prices for IUD insertion by a doctor working in a kupah clinic (brand to be determined by the kupot):
- Clalit: 291 shekels
- Clalit zahav/platinum: free
- Maccabi basic: 289 shekels
- Maccabi zahav/sheli: no further discounts
- Meuhedet: 290 shekels
- Meuhdet adif/C: no further discounts
- Leumit: 291 shekels
- Leumit Zahav/kesef: must pay something but not clear how much
As IUD (and other contraceptives) are not technically in the basket of services, the cost can be subsidized by the kupot:
- Meuhedet: No subsidy
- Maccabi: No subsidy
- Clalit Zahav/Platinum: 65% subsidy
- Leumit zahav/kesef: up to 80% of the cost (limit of 62 NIS subsidy)
Options in Israel for IUD with hormone:
- Mirena (Bayer company) [in the basket of services for women over 45 who suffer from overly heavy periods and have previously tried medication].
- Janess (Bayer)
Options in Israel for IUD copper (non-hormonal):
- T- Shaped options: Mona Lisa (CU380)/Multiload
- Gynefix: copper pieces on a string (not T-shaped)
- Ballerine: round with copper balls
You should know that all of these devices are also inserted by private gynecologists, who will charge on average ~1,200 for a private appointment. This is often a good option for women who have fear or serious concerns about IUD usage, but haven’t had success with other methods.
Remember, if you have any negative side effects from a IUD, you should report it to the Ministry of Health by completing this online form. (It works in Explorer only)
Next week: Everything you wanted to know about the patch and nuvaring, and stay tuned for how to find non-hormonal contraception in Israel.