As of 2025, nine U.S. states have taken the step of requiring certain state-related insurance plans to cover vasectomies at no cost. This change makes the procedure more accessible and affordable for men who want a reliable form of birth control.

Here’s a breakdown of which states now offer no-cost coverage, who qualifies, and how you can check if you’re eligible.

Which States Cover Vasectomy at No Cost?

The following states require state-related health insurance plans to cover vasectomies at 100% with no copay or deductible:

  1. California
  2. Illinois
  3. Maryland
  4. New Jersey
  5. New Mexico
  6. New York
  7. Oregon
  8. Vermont
  9. Washington

Note: Coverage rules can vary. These requirements apply primarily to state employee plans, state marketplace plans, or Medicaid depending on the state.

Who Is Eligible?

Not every insurance plan will qualify. In general, the following groups may benefit:

  • Individuals insured through state employee benefit plans
  • Those enrolled in state marketplace insurance
  • Medicaid members in states that explicitly cover vasectomy

If you are on a private employer plan, check with your HR department or insurance provider—coverage is not always guaranteed unless your state mandates it.

Why This Matters

Removing the financial barrier makes vasectomy more accessible for thousands of men. It allows couples to share responsibility in family planning, reduces long-term contraceptive costs, and supports reproductive freedom.

How to Check Your Coverage

  1. Look up your state’s Department of Insurance website for current policies.
  2. Check your insurance plan’s Summary of Benefits and Coverage (SBC).
  3. Call your provider directly and ask if vasectomy is covered at no cost under your plan.

If you discover you’re covered, your vasectomy may be fully paid for without any copays, deductibles, or surprise bills.

Find a Vasectomy Provider Near You

Insurance coverage is only half the equation—you still need the right provider. Use our free directory to find trusted vasectomy providers in your state and city:

🔍 Browse Vasectomy Providers by State

Related Reading

Bottom line: If you live in one of these nine states, you may qualify for a no-cost vasectomy under your health plan. Always confirm coverage before scheduling, and use our directory to find experienced providers near you.