The Medical Trust’s Episcopal Health Plan includes benefits for the diagnosis and treatment of infertility. Covered health services include diagnostic and exploratory procedures to determine whether a member suffers from infertility. Covered fertilization services include artificial insemination, in vitro fertilization, GIFT (gamete intra-fallopian transfer), and ZIFT (zygote intra-fallopian transfer) procedures.
Currently, there is a lifetime benefit maximum of $10,000 for services covered under the medical plan and $10,000 for services covered under the pharmacy plan.
Effective January 1, 2023, the lifetime benefit maximum will be a combined $50,000 for medical and pharmacy services.
In addition, the Medical Trust will provide standard fertility preservation services for individuals who must undergo medically necessary treatment that may cause iatrogenic infertility.
Note: Member cost shares (copays, coinsurance, and deductibles) apply; however, cost shares do not count against the lifetime benefit maximum.