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Changes to Health Net Infertility Benefits

Feb 19, 2015

Changes to infertility benefits apply to all California HMO and PPO plans that provide infertility benefits effective January 1, 2015.

The CDI and DMHC recently informed Health Net that if a health plan covers infertility benefits, the plan must also cover artificial insemination and Gamete Intrafallopian Transfer (GIFT) at the same member cost share as other infertility services. Lifetime and/ or annual benefit maximums and limits on infertility coverage may continue to be imposed. In California, infertility services are not considered an Essential Health Benefit. The requirement applies to all plans with infertility benefits, including grandfathered plans. This requirement does not mandate infertility coverage in all plans.  

If you have any questions regarding this announcement, please ​contact a member of your b&p Sales Team - 888.722.3373.

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