Pregnancy support services to meet the needs of today’s diverse employees and their families.
Western Health Advantage is now offering large group employers an exciting Family & Diversity Support Benefit for employees planning to have a baby.
This benefit provides plan members with pregnancy support services (with no exclusion of gender or relationship status), and without a diagnosis of infertility. It also covers pre-implantation genetic testing, supporting members with rare and life-threatening genetic conditions.*
The Family & Diversity Support Benefit has two separate components:
1.) Pregnancy Support
- Designed to demonstrate WHA’s commitment to supporting diverse families who have not been
diagnosed with medical infertility, this benefit will help members who are either single or in same-sex
relationships as well as traditional couples as medically indicated. - Sperm retrieval or extraction procedure, if medically necessary for men
- Medications for ovarian stimulation, including basic laboratory tests as well as basic imaging tests related to fertility workup
2.) Pre-implantation Genetic Testing
- This supports the needs of a member (or first-degree relative) with a specified** rare and life-threatening genetic condition as they plan for pregnancy and require support to conceive.
* Refer to the Copayment Summary for cost, details, exclusions, and limitations. An eligible member may be referred by their doctor for these services; prior authorization is required. WHA provides this additional and distinctive benefit at no additional premium.
** Refer to the specified list of covered diagnoses.
Infertility Benefit
New for Large Group/Employer Plans in 2025: WHA is offering infertility coverage, which includes consultations, examinations, diagnostic services, and testing performed in a physician’s office, hospital, or other facility. This benefit also covers services and supplies for the diagnosis and treatment of involuntary infertility (artificial insemination is subject to a maximum of one treatment period of up to three cycles), and medications for the treatment of infertility.
For details, refer to the copayment summary.
Check to see if your 2025 group plan includes this benefit.
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