Fertility Insurance

Fertility Insurance & Managed Care Options in Our Austin Fertility Clinic

In order to accommodate the needs and requests of our patients, Texas Fertility Center’s Austin Fertility Clinics are enrolled in several managed care health plans.  We will be happy to file all claims for covered services rendered if we are contracted with your insurance carrier.   In the event that we are not contracted providers, we will supply a detailed receipt of services to you that you can submit directly to your insurance carrier for reimbursement.

Insurance coverage for infertility can often be confusing.  Many policies offer coverage for testing to determine the cause of infertility — but no coverage for fertility treatment.  Usually, your first visit and first sonogram are considered to be diagnostic services and are therefore covered by those policies that cover diagnostic services.      Knowing what your policy covers before seeing your physician or beginning treatment can be very beneficial.  An Insurance Benefit Questionnaire , along with sample letters of predetermination, are available on our website to aid our patients in determining what is covered by their insurance plan.

Our Austin Fertility Clinic billing staff is available to answer any questions patients may have regarding their insurance benefits, insurance coverage and pricing.   The Billing Staff can be reached at (512) 451-0149 option #8..

Contracted Fertility Insurance Plans in Our Austin Fertility Clinic

At this time, our Austin Fertility Clinics are contracted with the following plans

  • Aetna:  Patients must register with the “Aetna Infertility Program” by calling (800) 575-5999 prior to the initial appointment. (NOT Aetna Seton Health Alliance)
  • ARIA (Austin Regional Independent Associates Network)
  • Blue Cross Blue Shield (NOT Blue Choice Solutions, Traditional, Indemnity, or Advantage)
  • Cigna (NOT Local Plus)
  • Galaxy (excluding discount programs)
  • Healthsmart
  • Seton Health Plans
  • United Healthcare

All HMO plans and some other specific plans (i.e. Healthselect) require a referral from a Primary Care Physician before a patient can be seen at Texas Fertility Center.  We strongly encourage patients to check with their insurance company to confirm whether or not a referral is required.    Also, Texas Fertility Center does not participate in any government-sponsored health plans such as Medicare, Medicaid, MAP, or Tricare.

Due to the changes with insurance participation in the Affordable Healthcare Act, as of January 1, 2017, TFC will not be contracted with any Marketplace health plans.