Ohio Insurance Question

iegmrg · 02-24-2009, 10:39 AM

Could any cysters from Ohio tell me what our state is required to cover? I work at The University of Akron, and I have HMO insurance through Summa. I've just had my first visit to an RE, and they only charged me my $15 copay for a transvaginal ultrasound and some blood work. However, they want to do a SA on my husband which is not covered (well, they'll submit it to my ins to see if they'll reimburse part of it, but the lab wants its payment up front: $90). Is an HSG covered on insurance? What about Clomid, gonadtrophin injections, etc? Also, should I need to (though I really hope not!), would it also cover any ART's like IUI and IVF? Thanks in advance!

rharshman99 · 02-26-2009, 02:34 PM

I have Med. Mut. of Ohio and while your ins may be different, mine dosen't cover squat. My u/s monitoring and blood work gets covered because those are not strictly considered fertility related by MMO. But my IUIs and meds (with the exception of metformin) are not covered. The best thing to do if you have questions about what is and isn't covered is to contact your HMO.