Infertility Coverage Clause Samples

The Infertility Coverage clause defines the extent to which an insurance policy or health plan will pay for diagnosis and treatment related to infertility. Typically, this clause outlines what specific services are included, such as fertility testing, medications, or assisted reproductive technologies like IVF, and may also specify any limitations, exclusions, or lifetime maximums. Its core function is to clarify the insurer’s obligations and the insured’s entitlements regarding infertility treatments, thereby preventing misunderstandings and disputes over coverage.
Infertility Coverage. The BOARD shall provide benefits in connection with the diagnosis and/or treatment of infertility which are in conformance with guidelines of the American College of Obstetrics and Gynecology or in accordance with the Standards of the American Society of Reproductive Medicine.