OBJECTIVES: Unplanned pregnancy (UP) is a public health problem that impacts women, families and countries, with social, health and economic repercussions, even greater on risk subgroups such as the adolescent population (10 to 19 years). Contraception in Private System is still an out-of-pocket therapy, without coverage by private insurers ISAPRES. Our objective is to calculate the costs of UPs in ISAPRES and generate a coverage proposal for Long-term contraceptives (LARC), which do not have failure due to compliance of users.

METHODS: This research used the last data published by the Chilean Superintendence of Health (2017). It was considered UPs Cesarean and Vaginal deliveries for women between 10 and 19 years of age. The average cost of reimbursement was considered as a cost for ISAPREs, while the difference with the average cost billed was considered out-of-pocket expense for the user.

RESULTS: The study included 561 UPs for all private system, with an annual expense of US$ 636,000 calculated only with average direct costs. 68% is financed by ISAPREs and the rest is out-of-pocket expense for the users. It is possible to save this amount generating a level of coverage in LARC. It was calculated the LARC total coverage multiplying the number of UPs with the average market price of Levonorgestrel Intrauterine System, the result is an annual investment of US$ 79,881. This technology was selected considering that these systems don’t have failure of compliance, unlike Short-term contraceptives that according to studies in Chile are responsible for almost 50% of the UP in the country.

CONCLUSIONS: The study provides for first time an analysis of RWE on teen pregnancy costs to generate access to LARC systems. Also allows make decisions to get savings and redistribute to generate coverages for other health actions that could generate more value for affiliates in this system.