TAKE CHARGE OFFERS:
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Gynecological exam from a TAKE CHARGE (TC) provider
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One session of application assistance per year
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One initial education, counseling, and risk reduction (ECRR) service
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One follow-up ECRR service every 10 months for women, annually for men
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Prescription birth control methods from a TC provider or any pharmacy that accepts a TAKE CHARGE card;
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Emergency contraception pills including Preven and Plan B
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Patch or Nuva-Ring
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Diaphragm or cervical cap
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Depo Provera 3-month shot
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IUD including Mirena
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Birth control pills
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Medications directly related to a birth control method
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Tubal ligation from a physician (a TC or Ancillary Service Provider) that accepts a TAKE CHARGE card
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Vasectomy from a physician (a TC or Ancillary Service Provider) that accepts a TAKE CHARGE card
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Natural family planning and abstinence education
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Over-the-counter (OTC) Food and Drug Administration (FDA) approved contraceptives without a prescription from any pharmacy that accepts a TAKE CHARGE card; i.e. male and female condoms, contraceptive foam, gel, cream, jelly and suppositories.
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Vaginal contraceptive film may be obtained at a family planning clinic
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Treatment of STD when performed in conjunction with a family planning diagnosis and medically required as part of the client's selected birth control method
Please note : not all OTC products can be purchased with a TAKE CHARGE card. Amounts will vary depending on pharmacy/clinic stock.
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| Federal Poverty Level Chart |
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Number of people in family (includes parents and children) |
200% FPL Income Monthly Limits |
1 |
Up to $1,552 |
2 |
$2,082.00 |
3 |
$2,612.00 |
4 |
$3,142.00 |
5 |
$3,672.00 |
6 |
$4,202.00 |
7 |
$4,732.00 |
8 |
$5,262.00 |
More |
Add $265.00 for each additional family member |
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To qualify, you must:
. Have income at or below 200% of the Federal Poverty level. For example: $18,620 for a single person and $37,700 a year for a family of four. (see chart above)
. Be a U.S. citizen or have a green card
. Be a resident of Washington State
. High school and college students DO NOT count parental income, so all high school students and most college students will qualify
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