Our medical policies are designed for informational purposes only and are not an authorization, or an explanation of benefits, or a contract. Receipt of benefits is subject to satisfaction of all terms and conditions of the coverage. Medical technology is constantly changing, and we reserve the right to review and update our policies periodically.
This subsection of the Medical Policy Reference Manual includes medical policies pertaining to reproductive endocrinology and infertility.
This subsection includes policies encompassing treatment and procedures related to fertility and infertility.
Infertility, for the purpose of this manual, means the inability to conceive a child after one year of unprotected vaginal intercourse or the inability to sustain a successful pregnancy. For women over 34, this pertains after 6 months. Formal infertility evaluations may begin after this time.
Coverage is not routinely provided for:
- reversal of voluntary sterilization;
- cryo-preservation, or storage of sperm, eggs, or embryos;
- services or supplies rendered to a surrogate for purposes of childbirth.