Infertility Services. This plan covers the following services, in accordance with R.I. General Law §27-20-20. • Services for the diagnosis of infertility. • Services for the treatment of infertility if a member is unable to conceive or sustain a pregnancy during a: ▪ one (1) year period for a member under age 35; ▪ six (6) month period for a member age 35 or older. • Some services for the treatment of infertility may have additional eligibility criteria, as listed in our medical policy for infertility services. Please contact our Customer Service Department for additional information. • Standard fertility preservation services for members not in active infertility treatment when a medically necessary medical treatment may directly or indirectly cause iatrogenic infertility. Iatrogenic infertility means an impairment of fertility by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes. ▪ Prescription drugs for the treatment of infertility. Coverage is based on the route of administration and site of service. For information about prescription drugs see Prescription Drugs and Diabetic Equipment or Supplies and the Summary of Pharmacy Benefits. This plan covers infusion therapy and related administration services.
Appears in 33 contracts
Sources: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Infertility Services. This plan covers the following services, in accordance with R.I. General Law §27-20-20. • Services for the diagnosis of infertility. • Services for the treatment of infertility if a member is unable to conceive or sustain a pregnancy during a: ▪ one (1) year period for a member under age 35; ▪ six (6) month period for a member age 35 or older. • Some services for the treatment of infertility may have additional eligibility criteria, as listed in our medical policy for infertility services. Please contact our Customer Service Department for additional information. • ▪ Standard fertility preservation services for members not in active infertility treatment when a medically necessary medical treatment may directly or indirectly cause iatrogenic infertility. Iatrogenic infertility means an impairment of fertility by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes. ▪ Prescription drugs for the treatment of infertility. Coverage is based on the route of administration and site of service. For information about prescription drugs see Prescription Drugs and Diabetic Equipment or Supplies and the Summary of Pharmacy Benefits. This plan covers infusion therapy and related administration services.
Appears in 7 contracts
Sources: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement