Progyny Fertility Benefit

You are viewing 2025 benefits and enrollment information. For 2024 benefits information, click here.

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What is the Progyny benefit?

Progyny provides comprehensive fertility benefits through dedicated Patient Care Advocates who will support you through your personal fertility journey. The Progyny Smart Cycles will assist you with the steps needed to guide you through the journey of starting your family.

How do the deductible and out-of-pocket maximum work with Progyny?

Progyny is a special part of the Partnership’s medical plan and is subject to its own deductible and out-of-pocket maximum that are separate from those in the medical plan.

The Progyny plan features include:

Feature:

Deductible - $4,000
Out-of-Pocket Maximum - $8,000
Co-insurance - Pays 80%, after deductible

Will the fertility services I receive from my provider outside of the Progyny network count toward the Progyny deductible and out-of-pocket maximum?

No. Only those services provided by the Progyny fertility specialists after registration will be applied toward the Progyny deductible and out-of-pocket maximum. If you receive fertility care outside of the Progyny network or before you register with the Progyny service, it will not count toward the Progyny deductible or out-of-pocket maximum. However, it may be applied toward your medical plan deductible and out-of-pocket maximum. Conversely, the expenses incurred through the Progyny plan will not count toward your medical plan deductible or out-of-pocket maximum.

How do I learn more about the Progyny benefits?

To learn more about the Progyny benefit and get access to a library of learning videos, click here. When you’re ready to get started, 1-833-278-1139 to speak to a Patient Care Advocate.

What support does the Partnership offer for adoption services?

The Partnership offers an Adoption Program through Progyny that will reimburse up to $10,000 for eligible adoption-related expenses including; adoption fees, home studies, legal fees and more.

These frequently asked questions (FAQs) provide only an overview of benefit changes and clarifications effective Jan. 1, 2025. The respective plan documents and policies govern your rights. You should rely on this information only as a general summary of some of the features of the plans and policies. In the event of any difference between the information contained herein and the plan documents and policies, the plan documents and polices will supersede and control over these FAQs. The Partnership expressly reserves the right at any time and for any reason to amend, modify or terminate one or more of the plans or policies described in these FAQs.

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QUESTIONS?

Info Center

We know that you may have questions about your benefits. We’re here to help you! The Benefit Advocate Center offers you a variety of services. When you have a question, need to file a claim, or search for a doctor, you will reach out to Collective Health.