New Enhanced Fertility Benefit

According to the Centers for Disease Control (CDC), 19% of married women aged 15 to 49 in the United States with no prior births are unable to achieve pregnancy after one year of trying, And, of course, single parents and same-sex couples also struggle with fertility and family planning.

In order to be as responsive as possible to its’ members, the Bucks and Montgomery County Schools (BMCS) Health Care Consortium voted at the December 19, 2024, Board Meeting, to enhance the fertility benefit for the OC1, OC2 and OC3 plans.

Effective February 1, 2025, coverage for Artificial Insemination will be provided for the OC1, OC2 and OC3 plans as part of infertility treatment. Coverage for the diagnosis and treatment of an underlying medical condition has already been provided and remains unchanged.

Previously, the OC1, OC2 and OC3 plans only covered services (tests, etc.) to “diagnosis” infertility.

Note: Artificial Insemination was already covered under the POS plan since it includes benefits for the diagnosis AND treatment for infertility.

If you have questions about coverage, please contact Aetna Member Services at 1-800-293-3536.