Planning Treatments That May Cause Infertility
Covered individuals with a diagnosis of cancer who are planning cancer treatment, or medical treatment for any condition that is demonstrated to result in infertility, are considered to meet the definition of infertility. Planned cancer treatments include bilateral orchiectomy, bilateral oophorectomy, hysterectomy, and chemotherapy or radiation therapy that is established in the medical literature to result in infertility. To use infertility benefits covered under the Plan, you must contact your health care company and work with them and your doctor to determine your appropriate course of treatment.
Coverage is limited to:
- Collection of sperm;
- Cryopreservation of sperm, eggs, and reproductive tissue
- Ovulation induction and retrieval of eggs;
- In vitro fertilization; and
- Embryo cryopreservation.
Cryopreservation costs are covered for the period of infertility treatments, which is generally one year. Long-term cryopreservation costs (anything longer than 12 months) are not covered under the Plan.
Diagnostic services to determine or cure the underlying medical conditions are covered in the same manner as any other medically necessary services.