Previously, only few private and commercial insurance carriers were covering male infertility services. Fortunately, in recent time, more carriers have started covering the same. It would be important to check with insurance carrier and the patient’s carrier, if they do cover male infertility services, and obtain pre-authorization and pre-certification. In cases, where you're not sure if a carrier will cover to have the patient sign a waiver, an Advanced Beneficiary Notice, an ABN. It’s advisable to obtain information on coverage pre-visit if possible but often, this only occurs at the time of the visit.
Male infertility diagnoses which occur in the series 606
Now, we've spoken about some male infertility diagnoses. And after revealing these diagnoses, remember that many insurance carriers – but they're becoming less –are covering infertility but there are some carriers still out there that do not cover or reimburse for services billed with these male infertility diagnoses. Patients are then responsible for these services, financially responsible and should be made aware of this financial responsibility hopefully before you see the patient or certainly after services have been provided.