We’ve consolidated and updated the clinical infertility policy for our commercial plans. Updates to the policy include:
- revising the definition of infertility as the failure to achieve a successful pregnancy after 12 months (earlier evaluation and treatment may be justified after 6 months for women over the age of 35 years); and
- noting that a cycle starts with ovulation induction and ends with retrieval of an oocyte(s).
This updated policy will go into effect April 1, 2019.
We cover the diagnosis and treatment of infertility for eligible members within the limit of their benefits.