Each April, National Infertility Awareness Week is recognized to raise voices of those experiencing infertility, talk about the issues facing this community and show support to those in need.
Fertility Benefits on the GW PPO Medical Plan
GW employees covered on the GW PPO medical plan are eligible for in-network fertility benefits. The benefit has a $30,000 lifetime maximum, which means this is the total amount that the plan will pay out in benefits. This maximum does not include the amount paid by you in copayments and/or coinsurance. Eligibility age restrictions do apply.
Participants are not required to meet the medical definition of infertility. In addition, the plan offers:
- Fertility preservation (Medically Necessary and Non-Medically Necessary)
- Embryo Biopsy for PGT-A (formally known as PGS) – Fertility coverage includes the embryo biopsy only.
- *Donor Coverage
- Donor eggs – Cost for fertilization (in vitro fertilization or intracytoplasmic sperm injection), embryo culture, and embryo transfer.
- Donor sperm – thawing and insemination of sperm.
Certain fertility procedures are also covered under the GW PPO Fertility Benefits.
* Donor (Eggs or Sperm) – the plan will not pay for donor charges associated with compensation or administrative services. The cost of donor eggs, including medical cost related to donor stimulation and egg retrieval is excluded for non-covered members. Additionally, the cost of procurement and storage of donor sperm is excluded for non-covered members.
Prescription Benefit with the GW PPO Fertility Benefit
The oral medications, including but not limited to those listed on the fertility overview document, used in the treatment of infertility are covered under your pharmacy benefit (if received at a pharmacy) up to a lifetime maximum of $8,000, which means this is the amount that the plan will pay out in benefits. This does not include the amount you pay in copayments.
