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Infertility Support and Discussion
Reply to "Federal Health Plans & IVF coverage"
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[quote=Anonymous]There is a potentially major change in the criteria for who qualifies in 2016. This language was not in the brochure last year: In vitro fertilization is a covered benefit when the following criteria are met: ...snip... • You and your partner do not have infertility that is due to natural physiologic process such as age related ovarian insufficiency or the result of gender reassignment surgery (female to male or male to female). I suspect that will hit many on this list, as it did for us. Aetna refuses to tell us how they will medically define "infertility that is due to natural physiologic process." If they use ovarian insuffiency as a guideline, that's one thing but if they use some other diagnostic code or other criteria I don't know about, it's a whole different ball of wax. Has anyone else noticed this and have any insight?[/quote]
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