Common questions / 27/10/2019

Does BCBS of Illinois cover tubal reversal?

BCBS covers tubal reversal following the same rules already noted. They might pay for medically necessary procedures – otherwise, the answer is typically no….Blue Cross Blue Shield.

BCBS State	Tradename	Mandate
Illinois		Yes
Kentucky	Anthem	No
New Jersey	Horizon	Yes
New York	Anthem	Yes

Does Blue Cross Blue Shield of Illinois cover pregnancy?

Blue Cross and Blue Shield of Illinois (BCBSIL) offers expectant members a confidential maternity program to help safeguard the health of both mother and baby. and support you need throughout your pregnancy – at no additional cost.

Does Blue Cross Blue Shield of Illinois cover abortion pill?

Blue Cross Blue Shield- HMO of Illinois We are able to accept BCBS HMO insurance for abortion services only. With an HMO plan, the patient will be responsible for obtaining a referral. If we are not contracted with your insurance we are still able to bill them for your care.

How much does it cost to get your tubes untied in Illinois?

Tubal Ligation Reversal is an option if your partner’s sperm is normal. The operation is approximately $5000.

Does Blue Cross Blue Shield of Illinois cover genetic testing?

Genetic Tests Are Changing Care, That’s Why Blue Shield Covers Nearly 70 of Them. Genetic testing is accelerating as a critical clinical tool with about 75,000 tests now available to healthcare providers.

Does Bcbsil cover labor and delivery?

This program focuses on Vaginal Delivery and Cesarean Delivery episodes of care; routine obstetrical services and follow up care are also included.

Does Blue Cross Blue Shield Illinois cover allergy testing?

Allergy testing and immunotherapy are covered if the IPA physician refers the member for the service. The IPA must provide testing supplies and antigens.

Who are the insurance companies that cover tubal ligation?

Tubal ligation typically is covered by most health insurance, according to Dr. Don Snyder, an Indiana gynecologist; insurance companies that typically cover tubal ligation include Aetna, United Healthcare, Cigna/Sagamore and Anthem BlueCross BlueShield.

Can a tubal ligation be billed as a sterilization?

Some on Reddit claim that billing a salpingectomy for sterilization as a tubal ligation via salpingectomy is insurance fraud. However, the ACOG and coding organizations (such as those referenced in the article above) disagree.

Is the tubal sterilization covered under the ACA?

What is required under the ACA: You can likely get sterilized for free! The ACA’s contraceptive coverage mandate requires compliant private health insurance plans to cover at least one tubal sterilization procedure at 100% of cost, i.e. none of the cost is the patient’s responsibility and the procedure is free to the patient.

How much does it cost to reversal a tubal ligation?

Tubal ligation reversal is available, but it costs about $5,000 to $8,000, usually is not covered by health insurance and is sometimes unsuccessful; Essure reversal is possible but experimental — the first successful one was done in 2008.

What kind of insurance covers tubal ligation reversal?

Blue Cross Blue Shield Association (BCBS) is a national federation of thirty-seven independently owned and operated insurance companies. Each affiliate makes its own business decisions and acts in states with different regulatory environments. BCBS covers having tubal reversal following the same rules already noted.

Can you get Aetna Insurance after a tubal ligation?

Even the state-based mandates exclude infertility treatments after tubal ligation, so alternative procedures are not a good option. The Aetna Company operates in fifty states. Aetna is subject to an infertility mandate in some. Aetna excludes benefits when either partner has had previous voluntary sterilization.