NY Bees – New IVF Mandate – Any Info?

posted 4 weeks ago in TTC
Post # 2
Member
3801 posts
Honey bee

A quick google search tells me that all large plans (100+ employees) are required to include this mandate. How big is your company? If they are smaller or your plan is not insured through your company, you likely would not be covered. Going into effect on 1/1/20 means that this will take effect for the 2020 plan year (which we are currently in open enrollment for).

Post # 4
Member
3801 posts
Honey bee

zstbee84 :  I work for a company that helps small businesses find health insurance. It’s basically our job to gather health insurance policies from carriers all over the country and  host them online. Insurance carriers have to have their plans for each plan year approved by the state for coverage, rates, etc. If there is a requirement that hits January 2020, your plan should cover that even if your open enrollment is at a different time. The thing is, the carrier is required to give you all of your plan coverage information, so it makes no sense that they basically did not know the answer. I would keep calling them until someone gives you the full listing of coverages for 2020 for your specific plan. It’s crazy that they told you they didn’t know! You could also ask your HR department for your plan details (not just a summary of benefits, but the full plan). You don’t have to specifically ask for infertility services.

Post # 9
Member
4995 posts
Honey bee
  • Wedding: January 2017

zstbee84 :  how absolutely frustrating. Can you call the fertility agency and ask them if anyone’s coverage has changed// service coverage has changed?

Post # 10
Member
3651 posts
Sugar bee
  • Wedding: April 2016 - Manhattan, NY

zstbee84 :  I’m a NYS employee and my insurance plan does cover IVF already, but when I got my authorization letter (I’m pursuing IVF) it mentioned that as of January 1, 2020, 3 rounds of IVF will be covered. There is prescription drug coverage as well but it was a very general statement. I hope you’re able to get more information!

Leave a comment


Find Amazing Vendors