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Financial Information
Our business office will contact your insurance company to verify eligibility and identify policy coverage. Any information (verbal or written) that our business office receives from insurance does NOT guarantee how insurance will pay and/or process a claim. Information is used to direct patient financials for each scheduled appointment.
It is a good idea to contact your insurance company to ask if your insurance policy (ie) would cover/pay for the following services that are related to infertility:
- Diagnostic testing to determine why infertility treatment is needed
- Are benefits limited to diagnostic testing
- Monitoring and treatment procedures related to infertility treatment
- If benefits are available for treatment, what, if any, are the limitations (ie: dollar maximums or number of cycles of treatment allowed)?
- If benefits are available for treatment, do benefits require prior authorization for claims to be paid?
- Surgery to correct the underlying cause of infertility
- Infertility medications
- Oral medications
- Injectable medications
- Advanced Reproductive Technologies
- Coverage for intrauterine insemination (IUI)
- Coverage for in vitro fertilization (IVF)
- ICSI included
- Medications included
- Cryopreservation of embryos included
All patients are responsible for knowledge of their own insurance policy (ies).
All cost estimates are only an estimate of cost. Actual out-of-pocket expenses may not be able to be determined until after the scheduled appointment and/or treatment cycle has been concluded/completed.
It is this important that you understand your insurance your insurance benefits before starting treatment. If they do not cover treatment then once you start any procedures that includes fertility medications for treatment they will not provide coverage and it will be your payment responsibility.
It will be an advantage for you to obtain a copy of your insurance policy and contact your insurance company to determine benefits for infertility and IVF. If you believe you have coverage for IVF treatments it will be your responsibility to obtain written confirmation of benefits covering the treatment (predetermination letter) before you undergo the procedure. If you do not have this letter before you start your cycle (ie: lupron start) you will need to pay a global fee or wait for a subsequent cycle start. We have available a form letter you can use for this purpose. We will need a copy of written verification of the predetermination letter before the start of your cycle.
Insurance
Fort Worth Fertility contracts with many insurance companies for the convenience of our patients. Below is a partial list of the insurance/managed care plans of which we are currently active. Please note that we are reviewing insurance companies all the time. If you don't see your insurance company listed please contact our Billing Department for the most up-to-date information. They are also available to help you with any questions concerning insurance coverage.
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Aetna (all plans) |
MultiPlan PPO |
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Accountable PPO |
NHA PPO |
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Affiliated PPO |
NPPN PPO |
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Blue Cross Blue Shield PPO |
NTHN PPO |
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Beech Street PPO |
Pacificare PPO |
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CCN Managed Care PPO |
ppoNEXT PPO |
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Cigna PPO |
Private Healthcare Systems PPO |
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Great West Healthcare PPO |
ProNet PPO |
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Healthcare Partners of East Texas PPO |
United Healthcare (all plans) |
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Humana PPO |
Unicare Performance PPO/Classic PPO |
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IMS PPO |
USA MCO |
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Managed Care
Some insurance plans are “managed” meaning that some type of referral or authorization is required before office visits, testing or treatments can be conducted. WHEN A REFERRAL IS REQUIRED, IT IS THE PATIENT’S RESPONSIBILITY TO OBTAIN THIS FROM THE PRIMARY CARE PHYSICIAN PRIOR TO THE APPOINTMENT TIME.