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Insurance



Village Fertility Pharmacy’s goal is to assist you in obtaining the maximum insurance coverage for your fertility medications.

Our dedicated team of insurance experts are available to investigate your prescription coverage to ensure you maximize your benefits. Ask your clinic about Village Fertility Pharmacy's Insurance Pre-Verification Program! You may also be eligible for the Ferring Direct Program, which provides up to $500 in copay assistance on qualifying fertility medications (certain restrictions may apply).

 

Insurance coverage for infertility can range from comprehensive to non-existent. Each insurance company has its own policies regarding fertility coverage and policies from the same insurance company may differ by each employer. As a patient, you can be your own best advocate by thoroughly understanding your insurance coverage. The booklet provided by your insurance company when you signed up for coverage is a useful tool. It is recommended that you verify your benefits before beginning any treatment so you are aware of your potential costs.

The first step in identifying your fertility benefits is calling the member services 800 number printed on your insurance card.

You should ask the following series of questions:

Do I have prescription coverage for fertility medications, including self injectables?
If the response is "no," inquire if you have coverage for self injectable fertility medications under your medical policy. If that response is "no," contact Village Fertility Pharmacy at (877) 334-1610 to discuss our various discount programs available to cash paying patients.

If the response is "yes," ask the following questions:

  • What is the age range for fertility medications coverage?
  • Am I covered for both Intrauterine Insemination (IUI) and In-vitro Fertilization (IVF) cycles?
  • Are there any limits on these services?
  • What are the names of the fertility medications that are covered?
  • Which fertility medications, if any, require prior authorization?
  • Am I required to use a specific specialty pharmacy in order to be covered? If "yes," what is the name and telephone number of the specific specialty pharmacy I need to use?
  • What are my co-pays? Remember that copay amounts are dictated by the insurance company and are the same regardless of which in network pharmacy provider you use to obtain your medications.
  • Do I have a deductible? If "yes," what is the amount and how much has been used (or how much still remains)?
  • Do I have a maximum dollar amount or a lifetime cap? If "yes," what is the amount and how much has been used (or how much remains)?

Remember to always ask for the name of the person you are speaking with, their direct telephone number or extension and document the date and time of your call.

 

If you have no insurance coverage or you have exceeded your cap/lifetime maximums, please be sure to contact Village Fertility Pharmacy at (877) 334-1610 to speak with one of our customer care representatives to discuss the pricing options available to you.

 

Helpful links:

Here are a few links that may be helpful to you as you explore your insurance company's coverage of fertility medications. If you find links that you believe may be helpful to other fertility patients and should be added here, please contact us by emailing patientcarecenter@villagefertilitypharmacy.com.

 

Blue Cross Blue Shield of Massachusetts:

Harvard Pilgrim Health Care:

Health New England:

Horizon Blue Cross Blue Shield of New Jersey:

Blue Cross Blue Shield of Rhode Island: