Fertility Benefits Highlights
U.S. benefits-eligible employees and their covered dependents are eligible for fertility benefits only if they meet the following requirements:
- The person receiving the fertility services is enrolled in the JPMorgan Chase U.S. Medical Plan
- The person receiving the fertility services and their partner (if applicable and clinically linked to the fertility treatment) have not received a medical diagnosis of infertility
- The person receiving the fertility services has enrolled with WINFertility, the administrator of fertility benefits
- The expenses are incurred while the person receiving the fertility services was enrolled in the Medical Plan
Note: If a medical diagnosis of infertility is determined, the person receiving the fertility services may qualify for infertility benefits under the JPMorgan Chase U.S. Medical Plan in lieu of this fertility benefit. If, during the course or treatment, it is determined that there is a medical diagnosis of infertility, WINFertility will continue to work with the person but they will begin using the infertility benefit under the JPMC U.S. Medical Plan.
To be eligible for benefits from the Program, you must enroll by calling WINFertility and complete a consultation with a WINFertility Nurse Care Manager. If you do not call and complete a consultation, you will not be eligible for benefits and you will not be eligible for reimbursement for fertility services incurred prior to enrollment.
Examples of fertility services that are covered include, but are not limited to, the following if performed on the individual enrolled in the U.S. Medical Plan:
- Intrauterine insemination (IUI);
- In vitro fertilization (IVF);
- Medications associated with an approved IUI or IVF cycle. For more details on the covered services and the exclusions, see "What's Covered" and "What's Not Covered."
WINFertility has a network of providers that feature credentialed reproductive endocrinologists and associated clinical staff, and has negotiated competitive pricing across this network.
If you use an in-network WINFertility provider, you will have the associated costs automatically processed by WINFertility as the services are received, up to the lifetime maximum. This means you won't have to pay out-of-pocket at the time of service and will not have to submit claims for reimbursement. Ancillary services prescribed by the WINFertility provider to outside labs, facilities, or providers may not be payable directly by WINFertility, but would be eligible for reimbursement.