• New Medicaid Benefits for Infertility

  • Affinity Plan’s Medicaid Managed Care now covers medically necessary ovulation enhancing drugs and medical services related to prescribing and monitoring the use of such drugs. This applies to Medicaid members, ages 21 through 44, who are experiencing infertility.

    The following ovulation enhancing drugs will be covered for a limit of three cycles of treatment per lifetime:

    • bromocriptine
    • clomiphene citrate
    • letrozole
    • tamoxifen

    Affinity also will cover services related to prescribing and monitoring the use of such drugs. The infertility benefit includes:

    • office visits
    • x-ray of the uterus and fallopian tubes
    • pelvic ultrasound
    • blood testing

    Medicaid members may be eligible for infertility services if they meet the following criteria:

    • They are 21-34 years old and are unable to get pregnant after 12 months of regular, unprotected sex.
    • They are 35-44 years old and are unable to get pregnant after 6 months of regular, unprotected sex.

    For more information visit the New York State Department of Health website, www.health.ny.gov.