Yes. Covered Services include Medically Necessary diagnostic tests to find the cause of Infertility, such as diagnostic laparoscopy, endometrial biopsy, and semen analysis, as well as treatment and Prescription Drugs which are consistent with established, published, or approved medical practices or professional guidelines established by the American Society for Reproductive Medicine (ASRM) or the American College of Obstetrics and Gynecology (ACOG) for diagnosing or treating Infertility, including:
• Up to three completed oocyte retrievals with unlimited embryo transfers in accordance with the guidelines of the ASRM, using single embryo transfer when recommended and medically appropriate; and
• Standard fertility preservation services, for a member who has a medical condition or is expected to undergo medication therapy, surgery, radiation, chemotherapy, or other medical treatment that is recognized by medical professionals to cause a risk of impairment to fertility.
Standard fertility preservation services means procedures and services that are consistent with established medical practices or professional guidelines published by the American Society of Clinical Oncology (ASCO), the ASRM or their respective successor organizations.