How can I find out if Humana covers these treatments?
Good morning, I would be happy to review your benefits today!
According to your specific benefit plan, eligible services are payable at a 90% coinsurance, following your $500 deductible being met.
There is a limit of 6 oocyte retrievals per year.
This applies to those services performed in network.
What providers are in my network?
Below is a link to more coverage documentation as there are some requirements that would need to be met in order to be eligible.
Medical and Pharmacy Coverage Policies - Search Results
Also - prior authorization is required, and obtained by having your referring provider contact our Clinical Intake team at 800 - 523 - 0023.
The following as listed as exclusions as per your plan certificate.
Exclusions: Unless specifically stated otherwise, no benefits will be provided for, or on account of, the followingitems:Reversal of voluntary sterilization;
Payment for medical services rendered to a surrogate for purposes of childbirth;
Costs associated with cryopreservation and storage of sperm, eggs, and embryos, except when anecessary medical treatment may directly or indirectly cause iatrogenic infertility to a coveredperson;
Selected termination of an embryo; provided that where the life of the mother would be in dangerwere all embryos to be carried to full term, the termination is covered;
Non-medical costs of an egg or sperm donor;
Travel costs for travel within one hundred (100) miles of your home address as filed with us. Travelcosts not medically necessary, not mandated or required by us.
Infertility treatments deemed experimental in nature as determined by the written determination ofthe American Society for Reproductive Medicine. Except, where infertility treatment includeselements which are not experimental in nature along with those which are, to the extent services maybe delineated and separately charged, those services which are not experimental in nature will becovered.
Retrieving data ...