A projector on vasectomy | Kff

Although the affordable care law requires most of the private health plans to provide costless coverage for a range of recommended preventive services, including female contraceptives and the sterilization of women, because male condoms and vasectomy procedures are considered to be services for men, they must not be covered by law. Vasectomies, considered as methods of permanent sterilization for men, are generally ambulatory procedures and can cost $ 1,000 or more without insurance. These procedures are generally much simpler and have less risks than tubal ligations are the procedure that women seek permanent contraception generally obtain. As part of the KFF 2024 women’s health survey, a representative sample at the national level of 1,191 men aged 18 to 64 was questioned about a wide range of health problems. This data note highlights their responses to their experiences, knowledge and perspectives on vasectomy services.

A little more than one in ten men aged 18 to 64 (11%) say they had a procedure that has led to sterilization, like a vasectomy (Figure 1). This rate is half that reported by women, where 25% of people in the same age group signal sterilization as their contraceptive method. The larger actions of older men say they were sterilized compared to younger men, but 5% of men aged 18 to 25 say they have been sterilized. More than one in ten index (13%) declares that it has been sterilized compared to only 3% of black men. Smaller shares of men with low incomes have had a sterilization procedure compared to men with higher income (7% against 13%).

Among men who have not had a sterilization procedure, one in five (21%) says they would consider obtaining a vasectomy. The most important actions of men who are planning to obtain a vasectomy include men aged 26 to 35 (31%) and men aged 36 to 49 (25%), white men (25%) and men with higher income (24%).

Among Men Ages 18 To 64 Who Have Considered Getting A Vasectomy But have not one, Reasons for not seeking the procedure included: WORRY About Pain and/OR Complications from the procedure (39%), the cost of the procedure (31%), not having the time (23%), WANTING THE ABILITY TO HAVING Children in the Future (21%), and relying we differential Birth Control Method with their Partner (20%) (20%) (20%) (20%) (20%) (20%) (20%) (20%) (20%) (20%) (20%)Table 1). Among those who have never considered obtaining a vasectomy, six out of ten (59%) say they do not need vasectomy, or the question does not apply to them.

With regard to the prospects on the cost, most men do not know if the insurance schemes are required to pay the total cost of vastctomy procedures, which they are not required to cover. Plans can cover the procedure, but it is generally with cost sharing, and direct costs are determined by the regime’s coverage policy and franchises. There are considerable gaps in understanding the cover policy. A third (34%) of men aged 18 to 64 knew that it was not a coverage requirement, but more than half did not know (Figure 2).

There have been recent changes in state policy to cover vasectomy procedures at a cost without costs similar to the way sterilization procedures for women must be covered by federal law. In June 2025, nine states demanded health insurance plans to cover attended vasctomias for the patient: California, Illinois, Maryland, New Jersey, New Mexico, New York, Oregon, Vermont and Washington. However, the services of services regulated by the State do not apply to self-insured employers’ plans, which covered approximately two thirds (63%) of workers covered in 2024.