Contraceptives, including sterilization, are covered only for women as preventive services by ACA-compliant plans. Since sterilization for men is not considered a preventive service under the Affordable Care Act, federal law does not require plans to cover vasectomies.  However, eight states (California, Illinois, Maryland, New Jersey, New Mexico, Oregon, Vermont and Washington) require state regulated health insurance plans to cover vasectomies at no cost to the patient.  Check with your State Department of Insurance for more information.