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.
Package 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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