Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 37.00 - Infertility Benefits
Section 37.08 - Prohibited Limitations on Coverage

Universal Citation: 211 MA Code of Regs 211.37

Current through Register 1531, September 27, 2024

(1) No insurer shall impose deductibles, copayments, coinsurance, benefit maximums, waiting periods or any other limitations on coverage for required infertility benefits which are different from those imposed upon benefits for services not related to infertility.

(2) No insurer shall impose pre-existing condition exclusions or pre-existing condition waiting periods on coverage for required infertility benefits. No insurer shall use any prior diagnosis of or prior treatment for infertility as a basis for excluding, limiting or otherwise restricting the availability of coverage for required infertility benefits.

(3) No insurer shall impose limitations on coverage based solely on arbitrary factors, including but not limited to number of attempts or dollar amounts.

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