Jan. 10, 2021—A grassroots coalition of patient advocates, physicians and nurses, fertility clinics and health care providers across Washington state is applauding legislation requiring insurers to cover infertility treatment and fertility preservation services for Washingtonians enrolled in group health plans, individual health plans, and the state’s Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs.
Full Answer
Are fertility preservation procedures covered by insurance?
Standard fertility preservation procedures are covered but not defined by law. Provides up to 3 IVF cycles (fresh embryo transfer or frozen embryo transfer) to patients in the large group insurance market (100 or more employees).
Does insurance cover infertility treatment?
Ill. Rev. Stat. ch. 215, § 5/356m(1991, 1996)requires certain insurance policies that provide pregnancy-related benefits to provide coverage for the diagnosis and treatment of infertility.
What is the Washington State Health Insurance Program?
The state of Washington program provides medical, dental, vision and mental health coverage to people who qualify. There is no open enrollment period, so you can apply throughout the year.
Who is the patient in fertility insurance?
The patient is the policyholder or a covered dependent of the policyholder. The patient has been unable to obtain successful pregnancy through any less costly infertility treatments covered by insurance.
Why deny coverage of contraceptives supplies or services?
Deny coverage of contraceptives supplies or services because you changed contraceptive methods within a twelve-month period. Impose an unnecessary burden, restrictions or delays on required coverage of contraceptive services and supplies due to medical management techniques.
What is covered under the state law?
State law requires this and now additional benefits, including: Coverage for All FDA-approved, over-the-counter contraceptives with no cost sharing, including condoms, spermicides, emergency contraceptives and sponges. Coverage for voluntary sterilization and vasectomies with no cost sharing.
How to contact DOH about abortion?
For information on how to receive these services, please contact DOH customer service at: Phone: 1-800-525-0127. Email: [email protected]. Providence Health Plan members (not Providence Health employer plans) can also get additional information on how to access abortion services by contacting the Washington Health Benefit Exchange ...
Can a health plan require a prescription for over the counter contraceptives?
Know your rights. Your health plan must provide these and other reproductive benefits to you and cannot : Require a prescription for over-the-counter contraceptive drugs, devices, and products approved by the FDA.
Does Providence Health Plan cover abortions?
Providence Health Plan has a religious objection (about.providence.org) to providing voluntary abortions and will not cover them, unless there’s a severe threat to the mother or the fetus is not sustainable.
Does the Affordable Care Act require coverage for contraceptives?
The Affordable Care Act requires insurers to provide free coverage for all federal Food and Drug Administration (FDA)-approved prescription contraceptives. State law requires this and now additional benefits, including:
What is Apple Health for Workers with Disabilities?
Apple Health for Workers with Disabilities Program (www.dshs.wa.gov) Health care coverage for people with disabilities age 16 though 64 who meet federal disability requirements and are employed. Helps some people with insurance copays and deductibles.
When will Apple Health start in 2021?
If you miss this enrollment period, you can still buy a plan in the Exchange Dec. 16, 2020 though Jan. 15, 2021 for coverage to start Feb. 1, 2021. Apple Health (www.hca.wa.gov) The state of Washington program provides medical, dental, vision and mental health coverage to people who qualify. There is no open enrollment period, so you can apply ...
Is Apple Health open enrollment?
There is no open enrollment period, so you can apply throughout the year. You can apply for Apple Health online through the Washington Healthplanfinder (www.wahealthplanfinder.org). Note: Apple Health for Kids and Medicaid have merged into "Apple Health" and serves all ages, not just kids.
Does insurance cover hystersalpingograms?
Your health insurance company may pay for blood tests, a hystersalpingogram (HSG), semen analysis, and initial examinations and consultations. If your doctor finds the cause of your infertility, your health insurance company may cover procedures to correct it.
Does insurance cover fertility testing?
Insurance Coverage. Insurance coverage for fertility testing and treatment varies depending on your insurance carrier. Two people covered by the same health insurance company may have very different coverage, rules, and restrictions depending on the plan their employer has purchased.