Insurance coverage varies widely for infertility treatment. If you have a choice in selecting a health care plan, review the benefits carefully to see which plan offers you the best coverage. We encourage you to review your insurance coverage by contacting your employee benefits office, contacting your insurance carrier, and/or reviewing the coverage in your plan booklet to determine the type of benefit available to you.
- Employee benefits office– or your Human Resource Manager should be able to give you the details of whether or not infertility treatment is covered by your insurance plan.
- Insurance carrier – Call the member services phone number on your insurance card and talk with a member services representative. Inquire as to whether infertility evaluation, intrauterine insemination, and/or in vitro fertilization procedures are covered under your current plan.
- Benefit plan booklet – A review of your plan booklet can help determine whether or not benefits are payable under your insurance plan. Two places to check would be the “covered benefits” section and/or the “exclusion” section.
Participating and Non-Participating Physicians
Your insurance company may provide you a list of physicians that are participating with your insurance company. These physicians are considered to be in-network. Your plan may also allow you to see a physician that is non-participating utilizing your out-of-network benefits.
It is important to remember that if your insurance plan does not cover infertility treatment such as intrauterine inseminations or in vitro fertilization, then it will not pay benefits to any provider, participating or non-participating.
Insurance coverage can be very confusing. Our staff is glad to help direct you to obtaining the answers you need about your insurance and costs of your treatment.
Progyny knows the road to parenthood can be challenging and we were founded by people who’ve faced obstacles to fertility firsthand. That’s why we partner with the nation’s leading fertility specialists to bring patients a smarter approach to treatment with better care and more successful outcomes.
Want to know if your company offers a Progyny benefit? Check with your Human Resources department, call 212.888.3124 or email email@example.com to find out.