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Infertility Treatment Reimbursement Benefit

NOTICE: Important Infertility Reimbursement Benefit Update

NEW FOR 2018

Dartmouth will add coverage for treatment of infertility under Dartmouth's medical program effective January 1, 2018.

Going forward, you must be enrolled in a Dartmouth medical plan to receive access to this benefit.

Beginning January 1, 2018, Dartmouth will no longer be able to offer the Infertility Reimbursement Benefit. As a result, Dartmouth will add coverage for treatment of infertility under Dartmouth's medical program effective January 1, 2018. Going forward, you must be enrolled in a Dartmouth medical plan to receive access to this benefit. This is a compliance requirement.

All of Dartmouth's health plans will provide expanded coverage for infertility services, including in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), zygote intrafallopian transfer (ZIFT), prescription drugs to treat infertility, etc. All related health care services and prescription drugs will be subject to a lifetime plan maximum of $5,000 through Cigna and an additional $5,000 lifetime maximum through CVS/caremark, per individual, for the 2018 plan year. This plan maximum applies regardless of FTE status. Please note that the services currently covered by Dartmouth's medical plans, such as artificial insemination, will continue to be covered with no plan maximum.


This expanded coverage will be subject to cost sharing (e.g. deductibles, coinsurance, copays) based upon the type of services provided. You will be responsible for the applicable cost share until the plan pays up to the annual plan maximum for Cigna and/or CVS/caremark. Please note that some infertility services may be subject to prior authorization.

Employees currently undergoing or planning to undergo infertility treatment in 2017 previously had until November 15 to submit for reimbursement. Due to the benefit change, Dartmouth is extending this deadline and employees may submit for reimbursement under the current Infertility Reimbursement Benefit until December 31, 2017.

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Outstanding claims incurred in 2016 and/or 2017

 

All eligible outstanding infertility reimbursement expenses incurred between January 1, 2016 and December 31, 2017:

2017 DEADLINE
The deadline for submitting outstanding 2016 and 2017 claims is December 31, 2017

  • Must be submitted to the Human Resources Benefits office no later than December 31, 2017, to qualify for the 2017 allotment.
  • Must be submitted to the Benefits office using the Request for Infertility Treatment Expense Reimbursement form and must have all associated invoices and proof of payment attached.
  • Requests received after December 31, 2017 will not be paid

For eligibility information or questions on how the current or 2018 infertility reimbursement benefits will work, please contact the benefits office directly at 603-646-3588 or at Human.Resources.Benefits@Dartmouth.edu

Last Updated: 10/20/17