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Insurance Benefit Check
We at CACRM always recommend that patients contact their Insurance Provider to determine infertility benefits. Your insurance policy is between you and your insurance carrier. We are not party to that contract. In either case, it is your responsiblity to be aware of your infertility benefits, as well as medication coverage dispensed through our medical office. If you are enrolled in a health plan that is contracted with CACRM, your co-pay is due at the time of service. All services that are a covered benefit will be directly billed to your health plan; however, you are responsible for payment of all services, which your insurance company fails to pay.
You should ask your Provider the following questions:
1) Do I have coverage for Diagnosis and Evaluation of Infertility?
2) Do I have coverage for Treatment of Infertility?
3) Do I need an Authorization for services?
4) Is there a specific laboratory for blood work?
5) Do I have coverage for Fertility Medications?
6) Is there a specific pharmacy?
7) Do I need an Authorization for Medications?
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a. Labs
b. Ultrasounds
c. Hysteroscopy
d. HSG (Hystersalopinogram)
2) Do I have coverage for Treatment of Infertility?
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a. Artificial Insemination
b. In-Vitro Fertilization
c. Donor Egg
d. Surrogacy
3) Do I need an Authorization for services?
4) Is there a specific laboratory for blood work?
5) Do I have coverage for Fertility Medications?
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a. Clomid (Oral)
b. Fertility Injectables
6) Is there a specific pharmacy?
7) Do I need an Authorization for Medications?
Any treatment that is not covered by your insurance is payable at the time of service
