Reproductive Medicine Institute understands that fertility
treatment requires not only physical and mental
commitment, but financial commitment as well. We
also recognize that reimbursement for your fertility
treatment may take many forms and become a complex
process itself. Our staff is committed to helping
you understand your financial responsibility and
optimize your insurance coverage and/or
reimbursement options.
Contracted Health Plans
Currently, we are contracted providers for
several health plans. This means that we have made
special reimbursement arrangements with these health
plans in order to provide infertility services in
the Chicago area. If you are a member of a
contracted health plan, we will bill your health
plan directly for your services. Each health plan
requests different information of us as providers,
and you as a member, of the plan. In addition, your
particular group plan may define your benefits and
the information needed very specifically. As you can
imagine, we must comply with all of the plan’s
requests in order to secure your reimbursement. The
following is a current list of the health plans that
contract with our Center:
- Aetna
- BlueCross/BlueShield HMO-Illinois
- BlueCross/BlueShield PPO
- BlueCross/BlueShield Blue Advantage
- BlueCross/BlueShield Blue Choice
- ENH/Humana Staff Model HMO
- ENH/gynecological surgery
- Humana
- First Health
- Preferred Plan PPO
- Cigna
- Great West
- Unicare PPO
- United Health Care
Out of Network
Even if we are not contracted providers with your
health plan, or you already know that you have
limited or no health benefits, we can help you
determine your financial responsibility. Working
with our staff, many patients who are designated
“out-of-network” or “self-pay” reach informed,
satisfactory payment arrangements with our Center.
Please remember that, while payment for services
at our Center is your primary responsibility
(see
Patient Responsibility Acknowledgement - PDF file), we
consider this a team effort. We ask that you help us
help you maximize coverage for fertility treatment
by sharing information with us.
- Explore and understand your current health
plan coverage for infertility treatment. Getting
to know your health plan representatives and your
specific member benefits lets you make informed
choices about treatment and your ability to pay
for services.
- Check to see if your health plan requires a
referral in order to be treated at our Center. We
will be happy to contact primary care providers to
assist with this process and any renewals
necessary.
- Keep us informed of changes in your health
plan. Whether you switch plans entirely, exhaust
benefits, change primary care providers, or add
additional carriers – please let us know. We can
help your understand these changes and how they
may affect your reimbursement.
|
