Family Planning
Family Planning services are covered only if you go to
In-Network providers (or to any qualified provider if
you are eligible for Out-of-Area benefits). Covered
services include:
- Information and counseling on contraception;
- Physical examination, related lab tests, medical
history and other medical services related to voluntary
family planning that are generally accepted medical
practices;
- Oral contraceptives and the specific products
NuvaRing and Ortho Evra (note that these products
are covered only under the prescription medication
portion of the Plan);
- Vasectomy, tubal ligation and other surgical therapies
for pregnancy prevention, and the medical counseling
that ensures you understand the effect of these procedures.
The cost of services or surgery to reverse these
procedures is not covered; and
- Tests for infertility and certain procedures to
correct infertility.
Aids to conception and actual or attempted impregnation
or other fertilization expenses (for example, in vitro fertilization
and artificial insemination) are not covered.
