Participating Insurances
The
extent of coverage, benefits and referral and
authorization process vary from policy to policy. It is
important that you understand what is covered before you
begin treatment, or what are the necessary requirements
to get the maximum reimbursement. The finance department
can provide some general guidelines on the most common
policies within each plan.
Some plans require referrals or authorizations. We
encourage all patients to check the infertility benefits
under your specific plan. Our participation with their
insurance does not guarantee coverage for our services.
The
referral for the initial visit should include the
following procedure codes: re 99245 or 99205 and 76856.
The doctor issuing the referral will need to provide a
diagnosis.
RMA
of Michigan currently participates with 4 major
insurance companies:
Blue Cross/Blue Shield
Aetna/Cofinity
United Healthcare
William Beaumont Hospitals Health Plan