Insurance and Fertility
Although we are credentialed with all of the major insurance plans in the State of Washington, at this time most insurance plans will not cover acupuncture for fertility enhancement. If you have acupuncture benefits with your insurance plan, we recommend that you check with your insurance plan before you come in to see if they will cover acupuncture for fertility enhancement or infertility.
Here is a July 23, 2015 letter from an insurance company denying a patient for fertility acupuncture:
“Your condition does not meet medical necessity criteria or guideline at the time because: Treatment to increase fertility is not considered medically necessary. Treatment to increase fertility is not treatment for a specific illness or injury; it is considered treatment primarily for your convenience. Treatment primarily for your convenience is not considered medically necessary. Fertility treatment is excluded from your acupuncture benefit and cannot be approved.”
Although we are more than willing to bill your insurance for issues outside of fertility, at this time, unless your insurance specifically allows for fertility acupuncture, we are unfortunately unable to bill your insurance. Feel free to call your HR department or your insurance and tell them how you feel about this.