Before going ahead with treatment, it is important to verify your specific infertility and drug coverage. Many patients have a co-pay for these services, so it’s best to plan ahead for this expense.
Also, not all services may be covered, depending on your employer’s health plan. Covered services vary from company to company. The fertility benefits chosen by your employer may change each year, so to avoid surprises, find out what your employer-paid benefits include.
Some treatments, including their related tests and drugs such as IVF (in vitro fertilization), donor egg, GIFT (Gamete Intrafallopian Transfer), and ZIFT (Zygote Intrafallopian Transfer) are usually not covered by your health plan. The cost for the consultation does not necessarily mean that you will have coverage for the treatment of fertility. The costs and coverage for our REI clinic will most likely be different than the costs and coverage for our IVF clinic. While IVF is also considered elective and may not be covered by most insurance plans, it is competitively priced and offered on a fee-for-service basis, which is separate from most Kaiser Permanente Health Plan benefits.
Examples of the cost-share for the initial consultation:
- 20% co-insurance - approx. $40*
- 30% co-insurance - approx. $60*
- 50% co-insurance - approx. $100*
- NO coverage - approx. $200*
* The above examples are only estimates of the approximate cost-share you might be expected to pay. Your exact amount can be confirmed by contacting the Patient Financial Advisors listed below.
For more information, please call:
Patient Financial Advisors (925)979-7789 or (925)979-7768
Member Services (800)464-4000
Deductible Plan Support Line (800)390-3507