Boston Insurance Coverage

CCRM Fertility of Boston participates with numerous insurance and fertility benefit providers. Our team is committed to helping our patients understand their insurance coverage and identify any potential gaps in coverage that may exist. We also partner with financing providers and offer multi-cycle packages to help make treatment more affordable.

If you are a resident of Massachusetts or Rhode Island, there is a state mandate that requires insurance companies to cover fertility treatment. The services that are covered and the amounts they will pay vary.

• Aetna*
• Assure
• Blue Cross Blue Shield
• Blue Distinction
• Carrot**
• Cigna
• Evicore
• Fallon
• Future Family
• Harvard Pilgrim
• Livestrong
• Mass General Brigham Health Plan (previously Allways Health Partners)
• Maven**
• MultiPlan/PHCS
• Optum Fertility Solutions
• Passport Plan
• Progyny**
• Stork Club**
• Tufts
• Unicare
• UnitedHealthcare/UMR*
• WINFertility*

**Carrot, Maven, Stork Club, WINFertility and Progyny fertility benefits vary based on your employer. Please reach out to your care navigator with these companies prior to scheduling with CCRM Fertility.

PARTIALLY IN-NETWORK INSURANCE PLANS

Insurance plans that are partially in-network with CCRM only cover physician consults, in-office procedures, and ultrasounds. Partially in-network plans DO NOT cover services provided by Fertility Labs of Colorado, CCRM’s IVF Lab and Surgery Center, which include blood work, semen testing, IVF/Embryology procedures, and Surgery Center fees.

• Multiplan

We know that IVF and other fertility treatment costs can be a major source of stress during the fertility treatment process. We will work hard to help you be informed about your insurance coverage and other financing options.

If your insurance carrier or plan is out-of-network with us, payment is expected at the time of service. If you wish to submit services to an out-of-network insurance or secondary insurance, we will be happy to supply you with an itemized receipt for you to submit to your insurance company.

CCRM Fertility of Boston proudly accepts Maven benefits. Maven partners with employers to provide additional coverage and support for fertility services not often covered by your commercial insurance plan.  Check with your employer to determine if Maven is a benefit option.

CCRM Fertility of Boston accepts Progyny benefits. Progyny covered services may vary based on the employer sponsoring the benefit plan. All Progyny patients (new or existing at a clinic) must first call their Progyny Patient Care Advocate (PCA) for authorization before scheduling an appointment with our clinic.

CCRM Fertility of Boston also accepts benefits through Stork Club. Stork Club provides fertility medical management services including administration, utilization management and clinical management. Stork Club’s Care Navigators help each member navigate their coverage and the process for each treatment, including timeline, options, payments, and assistance with care coordination. In addition, our proprietary digital platform enables members to easily understand their coverage, find in-network providers, schedule telehealth calls, and more. Please contact your Stork Club Care Navigator prior to scheduling with CCRM Fertility.

CCRM Fertility of Boston also proudly accepts WINFertility benefits. WINFertility has been the national leader in managed fertility benefits for over two decades. As patient benefits vary, contact your dedicated WINFertility support team prior to beginning treatment.