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Infertility Support and Discussion
Reply to "Federal Health Plans & IVF coverage"
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[quote=Anonymous]In case anyone is curious, here's some other reasons why the health plans dropped IVF coverage: - The reason that Kaiser, MDIPA, and Aetna offered IVF benefits is that they are HMOs located in Maryland. Up until 2 years ago, OPM required HMOs to offer any benefits mandated by their home states. Maryland has a state mandate requiring coverage for IVF. - The ACA has something called the "Cadillac" tax that in 2020 (it was supposed to be 2018) will impose a tax on any health plans with premiums over a certain threshold. - Because of the ACA's Cadillac tax, OPM decided to give the HMOs some flexibility and relax its requirement for HMOs to offer benefits mandated by their home state, particularly if those benefits are not deemed "essential" by ACA. - As such, Kaiser, MDIPA, and Aetna were able to drop their IVF benefits. [/quote]
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