You can check your insurance plan’s explanation of benefits, typically mailed to you or available online, to understand whether fertility testing and preservation services will be covered, and if a deductible, copay, or coinsurance will apply. Your explanation of benefits should also specify if prior authorization is required for your plan.
Alternatively, you can call the Member hotline found on the back of your insurance card. Due to regulations around provider-plan communication, we can’t make this call for you.
Keep in mind that you’ll be responsible for any charges that are not covered by your insurance plan or fertility benefits (up to the full cost of the services purchased, or $540). Typically, claims are processed and fees assessed by insurance providers within 2 months.
The CPT® or procedure codes associated with Legacy’s testing and freezing services include:
89320 Semen analysis
89259 Cryopreservation, sperm
89343 One year storage, sperm
89353 Thawing cryopreserved sperm