Family Planning
We offer a comprehensive range of reproductive care benefits and services.
Supporting your family’s journey
Whether you’re starting a family today or in the future, our reproductive care benefits can help. We’re here to support your family’s journey every step of the way.
Reproductive Services
For members diagnosed with infertility, we offer a range of reproductive services.
Artificial Insemination
We cover the following artificial insemination (AI) procedures once you receive prior approval:
- Intracervical insemination (ICI)
- Intrauterine insemination (IUI)
- Intravaginal insemination (IVI)
IVF Drug Cycles
Members diagnosed with infertility can receive up to three (3) annual drug cycles for in vitro fertilization (IVF).
You must receive prior approval and buy your prescriptions through our pharmacy programs.
Sperm and Egg Storage
If you’re facing iatrogenic infertility (infertility caused by a medically necessary medical or surgical intervention used to treat a condition or disease), we will cover one (1) year of sperm and egg storage, including procurement procedures once per lifetime.
Assisted Reproductive Technology
For FEP Blue Standard™ members diagnosed with infertility, we cover the following assisted reproductive technology (ART) procedures up to $25,000 annually, once you receive prior approval:
- In vitro Fertilization (IVF)
- Gamete Intrafallopian Transfer (GIFT)
- Zygote intra-fallopian transfer (ZIFT)
- Pronuclear stage tubal transfer (PROST)
Fertility Services
We cover any other FDA-approved service for fertility, including but not limited to the following services:
- Sperm Washing
- Follicle puncture for oocyte retrieval
- Ultrasonic guidance for aspiration of ova
- Oocyte identification
- Culture of oocyte(s)/embryo(s)
- Oocyte insemination
- Oocyte fertilization
- Assisted embryo hatching
- Preparation of embryo and transfer
- Sperm identification
- Sperm isolation and prep
- Sperm procurement
- Microsurgical epididymal sperm aspiration
- Cryopreservation of sperm, embryo(s), testicular tissue
- Embryo/oocyte/sperm/tissue storage
- Thawing services
Voluntary Family Planning Services
We cover a range of voluntary family planning services at no cost, limited to these services when prescribed by a provider.
Women
Contraceptive counseling, diaphragms and contraceptive rings, injectable contraceptives, oral and transdermal contraceptives, intrauterine devices (IUDs), implantable contraceptives, tubal ligation or tubal and occlusion/tubal blocking procedures only
Men
Vasectomy
HRSA-supported Guidelines
View a list of HRSA-supported Women’s Preventive Services Guidelines.
Contraception Coverage
View what contraception coverage is included under FEHB. If you have difficulty accessing contraceptive coverage or other reproductive healthcare, you can email contraception@opm.gov.
Exception Forms
View the necessary forms for the contraception exception process and the family planning exception process.
Service not listed?
If your doctor recommends a surgical contraceptive service not listed above, please contact the customer service number on the back of your member ID card. They will ask that your provider send them information as to why one of the services above cannot be rendered. They will then make a coverage determination within 24 hours of receipt of sufficient medical records.
Save on top quality fertility care
Through Blue365®, you can get up to 40% in exclusive savings on WINFertility’s Treatment Program Bundles.
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