211 CMR 37.00, New Infertility Mandated Benefits

[LOGO] PRISCILLA H. DOUGLAS SECRETARY LINDA RUTHARDT COMMISSIONER THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF CONSUMER AFFAIRS DIVISION OF INSURANCE 470 ATLANTIC AVENUE BOSTON, MA 02210-2223 (617) 521-7794 TTY/TDD (617) 521-7490 Bulletin No. 95-08 To: Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts (BCBSMA), Health Maintenance Organizations (HMOs) From: Commissioner Linda Ruthardt RE: 211 CMR 37.00, New Infertility Mandated Benefits Date: August 16, 1995 This is a reminder that on March 23, 1995, 211 CMR 37.00, the regulation which mandates coverage of certain infertility procedures, was amended to include two new non-experimental infertility procedures. They are: a) Intracytoplasmic Sperm Injection (ICSI) for the treatment of male factor infertility (211 CMR 37.05(5)); and b) Zygote Intrafallopian Transfer (ZIFT) (211 CMR 37.05(6)). The effective date of these mandates is March 23, 1995. Therefore, all policies, certificates, evidences of coverage and contracts must provide coverage for the benefits as of March 23, 1995 and must be amended according to the above noted laws. Also, policyholders, subscribers and members must be informed of the immediate availability of the benefits and their effective dates. Any questions regarding this bulletin should be directed to the Health Policy Unit at (617) 521-7349.