new text begin [62A.0412] COVERAGE OF INFERTILITY TREATMENT.
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new text begin Subdivision 1. new text end

new text begin Scope. new text end

new text begin This section applies to all health plans that provide maternity
benefits to Minnesota residents.
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new text begin Subd. 2. new text end

new text begin Required coverage. new text end

new text begin (a) Every health plan under subdivision 1 must provide
coverage for procedures related to infertility diagnosis and treatment that are (1) considered
medically necessary by the enrollee's treating health care provider, and (2) recognized by
either the American Society for Reproductive Medicine or the American College of Obstetrics
and Gynecologists.
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new text begin (b) Coverage must include but is not limited to ovulation induction, procedures and
devices to monitor ovulation, artificial insemination, oocyte retrieval procedures, in vitro
fertilization, gamete intrafallopian transfer, oocyte replacement, cryopreservation techniques,
micromanipulation of gametes, and fertility preservation procedures for cancer patients.
Coverage must include unlimited embryo transfers, but may impose a limit of four completed
egg retrievals during a single plan year.
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new text begin (c) Coverage for surgical reversal of elective sterilization and expenses related to purchase
of donor gametes is not required under this section.
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new text begin (d) Cost-sharing requirements, including co-payments, deductibles, and coinsurance for
infertility coverage, must not be greater than the cost-sharing requirements for maternity
coverage under the enrollee's health plan.
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new text begin Subd. 3. new text end

new text begin Definitions. new text end

new text begin For the purpose of this section, "infertility" means a disease,
condition, or status affecting the reproductive system that (1) interferes with an individual's
ability to achieve a pregnancy, or (2) decreases a woman's ability to carry a pregnancy to a
live birth.
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new text begin Subd. 4. new text end

new text begin Exclusion. new text end

new text begin This section does not apply to health plans offered under chapter
256B or 256L.
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