1. 1380 POINTS
    James Elbaum
    President | Founder, CLM Insurance Group, Delray Beach, FL
    As long as it's deemed medically necessary by the attending physician, then it should be.  The bad news is that most times a tubal ligation is considered an elective procedure, so getting it or getting it reversed won't fall under covered services.  An easy way to find out is to contact the benefits verification department of your insurance carrier (the phone number is usually on the insurance cards) and ask specifically if it is a covered service.


    Please click the "Contact Me" button on the left or run a personalized quote at: http://goo.gl/gsqRog
     
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    Answered on April 9, 2014
  2. 47 POINTS
    Kevin Haney
    A.S.K. Benefit Solutions, New Jersey
    Most frequently health insurance will not cover reversals of elective sterilizations. Carriers tend to approve procedures that either result in a cure, or lower subsequent claims. In this case future claims are likely to be much higher once the ability to conceive is restored.

    Fifteen states have mandates requiring certain health insurance plans to cover specified infertility treatments. Every single mandate excludes tubal ligation and vasectomy reversal surgery from the requirement. 

    Your best option is purchasing coverage optimized for the resulting pregnancy, and utilizing the un-reimbursed tax deductions to reduce expenses.
    Answered on April 21, 2014
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