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Understanding infertility

Understanding infertility and what you can do about it

 

Infertility is a common around the globe. According to the World Health Organization (WHO), one in six people will experience infertility at some stage in their life. Infertility isn't limited to one gender either, both men and women experience it.

How long should you try to get pregnant before calling your doctor? Most experts suggest trying for at least 1 year. If you are 35 or older, see your doctor after 6 months of trying. Your chances of having a baby decrease rapidly every year after you turn 30.


Some health issues also increase the risk of infertility. So you should talk to your doctor if you have:

 

  • Irregular periods or no menstrual periods
  • Very painful periods
  • Endometriosis
  • Pelvic inflammatory disease
  • More than one miscarriage

Infertility can be treated with medicine, surgery, artificial insemination, or assisted reproductive technology (ART). These treatments often may be combined. In most cases infertility is treated with prescription drugs or surgery.

 

Doctors recommend specific infertility treatments based on:

 

  • Test results
  • How long the couple has been trying to get pregnant
  • The age of both the man and woman
  • The overall health of the partners

Read our FAQs on infertility

 

You can find out if you have coverage for infertility care by calling the Member Services number on the back of your insurance card. You can also refer to your benefit plan documents for details regarding infertility coverage, which are available when you log in to AetnaInternational.com.

 

It's important that we can confirm certain medical criteria is met before you seek treatment for infertility. If you think you need infertility treatment, please reach out to us first at the number on the back of your Aetna International member ID card. We'll help guide you on the right steps to take based on your needs and coverage. 

 

Have this infertility information request form completed by a physician with information related to your request for infertility treatment. Without the completed form and proper medical records, you may experience delays in reimbursement or denial of coverage. A nurse from our clinical team can help guide you through this form. Please contact Aetna International Member Services at the number on the back of your ID card and they'll put you in touch.

The Clinical Policy Bulletins referenced will be used as a resource in decision making.

 

We encourage you to review Clinical Policy Bulletin 0327: Infertility, and Clinical Policy Bulletin 0358: Invasive Prenatal Diagnosis of Genetic Diseases before you complete the information request form. Applicable criteria may vary due to state or country mandates, and plan customization; please check plan documents for plan-specific information.

If you need help finding an infertility doctor, call the number on the back of your member ID card and we can help.