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HR Home >> Benefits >> Health & Dental >> Infertility Benefits

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HEALTH & DENTAL BENEFITS

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Infertility Benefits

The benefit structure of the Duke Select and Duke Options health plans requires patients receiving infertility services to pay a copay based on a packaged group of services. Care must be provided at Duke Medical Center.  Employees are eligible after two years of service.

Infertility Packages Fact SheetPackage One (LTMS 3)
Ovulation Induction
2 ultrasound, 2 estradiol (if needed)
WIUI

Package Two (LTMS 3 Cycles)
In vitro fertilization (IVF) - patient pays $3500 (each cycle)
IVF/ICSI - patient pays $4000 (each cycle)

Package Three
A surgical procedure such as myomectomy or the treatment of endometriosis.
Patient pays $3000.

Package Four (LTMS 3)
Controlled Ovarian Hyperstimulation (COH).
Patient pays $650 (each cycle)

* The drugs that are approved for use in the COH fertility packages are Repronex, Follistim, Bravelle, Gonal F, and Ovidrel. Patients will be responsible for 50% of the cost of the drugs in addition to the package price.

Note: The patient should use the Medco Health prescription card at a participating pharmacy to purchase infertility drugs.

 

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