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States Mandating Insurance Coverage for Infertility and Pregnancy Loss
Last Updated: May 10, 2004Page: 1
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The patient must be the policyholder or the spouse of the policyholder and be covered by the policy;
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The patient's eggs must be fertilized with her spouse's sperm;
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The patient and her spouse must have at least a two-year history of unexplained infertility,
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OR the infertility must be associated with one or more of the following conditions:
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Endometriosis;
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Fetal exposure to diethylstilbestrol, also known as DES;
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Blocked or surgically removed fallopian tubes that are not a result of voluntary sterilization; or
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Abnormal male factors contributing to the infertility.
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The IVF benefits are subject to the same deductibles and co-insurance payments as maternity benefits. The law also permits insurers to limit coverage to a lifetime maximum of $ 15,000.
(Arkansas Statutes Annotated, Sections 23-85-137 and 23-86-118).
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