With the UPMC Health Plans, individuals experiencing fertility complications
may be able to obtain infertility treatment based upon the provisions of their
employers health plan. Infertility is defined as services provided to
achieve pregnancy including monitoring and evaluation of the treatment
plan. Individuals must use participating physicians to obtain coverage
under the "Infertility Benefit Program."
Additional details about the list of authorized medications and benefits level
are below. If you have specific questions regarding the level of
infertility coverage or participating physicians, please contact UPMC Health
Member Services at 1-888-876-2756.
|
Covered in Full
|
$250 copayment (medical procedures)
$10,000 medical procedure lifetime benefit
|
$10,000 prescription lifetime benefit
20% coinsurance on prescriptions
Authorized Prescription Drug List
-
Gonal F
-
Follistim
-
Pergonal
-
Humegon
-
Metrodin
-
Repronex
-
Clomphene Citrate
-
Profasi
|
|
|
|
|
|
