Progyny offers a totally modern approach to reproductive health coverage. They connect members with doctors in their area that are part of Progyny's exclusive provider network. Members feel confident knowing that they are getting the best treatment possible with a team of top experts.
Progyny Overview
Progyny is a concierge fertility benefit designed to assist members who may need to pursue infertility treatment, preserve their fertility, or receive information regarding the path of surrogacy. It provides individuals with a smart fertility benefit founded on the latest science to decrease time to pregnancy and increase success rates related to infertility treatments.
Progyny’s Smart Cycles allow individuals a full suite of fertility treatment options, which include:
- Patient Care Advocates (PCAs) who provide concierge support, navigation, problem solving and education around treatment cost, outcomes and the complex fertility journey.
- Consultation at a credentialed Progyny network provider.
- Diagnostic tests, ultrasounds, IVF cycle management, retrieval, ICSI, embryo assessment and transfer.
- PGS (pre-implantation genetic screening) to ensure embryo viability
- Mobile-friendly Patient Portal.
- Access to telephonic advice from fertility nurses, geneticist, and embryologist.
- Egg freezing.
Your Progyny Infertility Benefit allows for 3 Smart Cycles per lifetime subject to all applicable plan copay, coinsurance, and deductible requirements. When it comes to prescription drugs and infertility – some medications are administered on-site by your provider. These medications will be included in the Smart Cycle process. However some medications are sourced through your local pharmacy or via CVS Health’s mail order service. Those medications will be applied to our CVS Health Prescription Drug plan and will be subject to a separate $30,000 lifetime maximum for infertility prescription drug services. This maximum was designed to be sufficient to cover most people’s prescription drug treatment with Progyny. However you should let your provider know about the limit so they are aware when prescribing on your behalf.
Progyny is available to participants who are enrolled in any of the 3 Aetna medical plans that we offer.
You must contact Progyny to confirm eligibility and utilize a Progyny Network Provider to access your benefit. To begin your infertility treatment plan, please contact Progyny at 888-843-8193.