-Questions to Ask Your Insurance Company-
- Do I have coverage for diagnostic testing for infertility?
- Do I have coverage for treatment for infertility?
- Do I need a referral or prior authorization from my primary care physician before visiting my reproductive endocrinologist?
- Do I have a lifetime maximum benefit for infertility treatment? Does this maximum include medications?
- If so, do I need prior authorization for these drugs? Do I have coverage for infertility drugs (Clomid, Follistim, Fetinex, Gonal F, Profasi...)?
- If prior authorization is required, how and by whom is this accomplished?
- Are there specific pharmacies that participate with my plan?
- Do I have a lifetime maximum benefit for infertility drugs?
- Does my plan exclude coverage for artificial insemination?
- If not excluded, do I need separate prior authorization for this procedure?
- Does my plan exclude coverage for in vitro fertilization?
- If not excluded, do I need prior authorization?
- If prior authorizations are required, request the name and address of whom this is mailed to.