Tips
for Getting Infertility Health Insurance
By Elizabeth Newberry
Health insurance for infertility treatment can be a complicated
– and touchy – subject. It affects a lot of people –
approximately 6 million women experience the pain of infertility
each year in the United States. The health insurance laws in the
state you live in may have a lot do with the extent of your coverage;
for example whether your employer is required to provide infertility
insurance or not.
One reason that infertility
insurance is so expensive and hard to come by is because the procedures
are so complicated – an in-vitro fertilization procedure can
cost $10,000 or more. Not surprisingly, many insurance companies
simply don’t provide – or provide very limited –
insurance coverage for infertility.
There are some things
you can do if you aren’t covered for infertility treatment
under your health insurance. Firstly, make sure you read and fully
understand your insurance policy – some policies exclude actual
treatments only, some exclude diagnosis too.
Determine whether you
live in a state that has mandatory infertility insurance coverage
– New York, for example is one of several such states. Under
the mandate, your state must ensure that insurers provide fertility
insurance as part of a standard plan, or as an option to purchase
for a reasonable price.
If you are shopping around
for health insurance, never mention that you are looking specifically
for fertility insurance, or that this may later be a concern. As
this coverage is so costly, insurance companies have the right by
law to turn down your application for insurance – without
giving you a reason.
If you are denied coverage,
it is also possible to appeal to your insurance company on the grounds
that the fertility coverage is a legitimate and necessary medical
procedure. To appeal any decision successfully, always obtain legal
advice, and you may need the support of your doctor.
And if your
insurance company just won’t cover it, the good news is that
infertility treatment, like most medical procedures are tax-deductible.
This includes the actual procedures as well as general physician’s
visits, drug costs, etc.
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