Eligible health services include comprehensive infertility care. The first step to using your comprehensive infertility health care services is enrolling with Aetna's National Infertility Unit (NIU). To enroll, call the dedicated Aetna NIU at 1-800-575-5999 (TTY: 711).
You can view a summary of infertility benefits based on each Aetna health plan.
NOTE: This coverage is administered separately by CVS Caremark and does not apply to the Aetna lifetime maximum.
Out of Pocket Expenses
Out-of-pocket expenses for treatment and medical services are eligible for reimbursement from a Health Care Flexible Spending Account if you are enrolled in one.
Finding Providers for Infertility Treatment
If you reside within Kings, Queens, New York, Bronx, Richmond, Nassau, or Westchester counties, Assisted Reproductive Technology (ART) services can ONLY be provided at the Weill Cornell Center for Reproductive Medicine and Columbia’s Center for Women’s Reproductive Care. If you live outside of the counties listed above, you ALSO have access to the Aetna Institutes of Excellence (IOE) network for Infertility Services.
Clinics that have met enhanced quality, safety and economic criteria are designated to participate in the Institutes of Excellence network for Infertility Services. Designated IOE clinics have demonstrated success in infertility care, a commitment to continuous improvement and represent an exceptional value for our members. Preauthorization may be required for coverage to be effective.
SART is dedicated to the practice of assisted reproductive technologies (ART) in the United States. They are an independent third party that provides additional information for members and patience who are seeking infertility services.
Prior to using your infertility benefits, please call Aetna Member Services at 1-866-267-1091 (TTY: 711) for your general benefits questions.
For specific infertility benefits questions, you may be transferred to NIU by Aetna Member Services, or contact them directly at 1-800-575-5999 (TTY: 711).