Infertility Treatment. Inpatient/outpatient/in a doctor’s office Three (3) infertility treatment cycles will be covered per plan year with a total of eight (8) infertility treatment cycles covered in a member’s lifetime. 20% - After Deductible 20% - After Deductible
Infertility Treatment. Advanced reproduction technologies and fertility treatments will be covered after the deductible is met on an in-network basis at 90% of the NNF. (Amend the following sections of the VMEP: Sections 6.1.3 and 9.19.)
Infertility Treatment. LSNYC will self-insure infertility treatments up to an annual maximum of $25,000 and a lifetime maximum of $50,000 per person.
Infertility Treatment. We will cover the Reasonable and Customary Charges for infertility treatment incurred on OPD Treatment or Day Care Treatment or an In-patient Hospitalization by the Insured Person during the Policy Period up to the limit specified in the Policy Schedule or Certificate of Insurance.
Infertility Treatment. We will pay the Reasonable and Customary charges upto the limits mentioned in the Policy Schedule/Certificate of Insurance for In-patient treatment or Day Care treatment of the Insured person in respect of any infertility treatment provided that:
(a) The Benefit will not pay for any OPD treatment The payment under this benefit is within the Basic Sum Insured or the Maternity Sum Insured, subject to limits specified, if any Permanent Exclusion 5(m) of the Policy Wordings stands deleted to the extent of this Benefit only.
Infertility Treatment. Advanced reproduction technologies and fertility treatments will be covered on an in-network basis at 90% of the NNF. (Amend the following section of the VMEP: Section 5.1.3.)
Infertility Treatment. Charges for services needed as a result of a vehicular accident, whether on or off road, when operating the motor vehicle while illegally impaired.
Infertility Treatment. In-patient psychiatry and psychotherapy treatment.
Infertility Treatment. LSNYC will self-insure infertility treatments up to an annual maximum of $25,000 and a lifetime maximum of $50,000 per person. The lifetime limit of $50,000 is a combined maximum reimbursement for Infertility expenses and Adoption and Surrogacy expenses under Section 5.9 below. LGBTQ members will be reimbursed for infertility treatment without requiring an infertility diagnosis. To be reimbursed, you must first apply to your group health plan and, if coverage is denied, you must appeal that denial through the internal appeals processes described in the Summary Plan Descriptions of your group plan and receive denial of those appeals or lack of decision within 60 days. If a reimbursement request is denied, the Claims Submission Agent (currently USI) will provide written notice to the covered member of their rights to appeal under ERISA and via the Union grievance process within 30 days after the Claims Submission Agent receives your claim. A bargaining unit member can choose to appeal through either or both processes. The notice of denial will provide the specific reason(s) for the denial, the employee’s right to review their application, an optional HIPAA form to allow notification to the union and Employer, and information on how to appeal the denial through both processes. If a HIPAA waiver is signed, LSNYC will provide notice to the Union and the Employer of any denial and the reason for such denial, including a copy of the denial notice provided to the member.
Infertility Treatment. This is NOT a covered expense under this Program; however, diagnostic testing to determine the cause of infertility is a covered expense, and will be covered at the applicable percentages after the deductible is met. Services, treatment and procedures rendered for the specific purpose of making conception possible. This is NOT a covered expense under this Program.
