Optum provides three types of coverage for infertility, ParentSteps®, Reproductive Resource Services (RRS) and the Managed Infertility Program (MIP). ParentSteps is a Network Access Program and RRS and MIP are a covered benefit. These programs offer nurse support, education and guidance to our Centers of Excellence fertility clinics.
Infertility treatments are largely responsible for the significant increase in multiples and Neonatal Intensive Care Unit (NICU) costs.
One in ten couples of childbearing age seek medical help for infertility1, and of those seeking treatment, over 50 percent pursue in vitro fertilization (IVF) and super-ovulation, both of which have significant risks of multiples.
1 2008 Merck Serono
In the United States, 10 to 15 percent of couples are infertile2. With ParentSteps®, our infertility treatment network through the Optum Allies Discount Program, we offer discounts to individuals who either do not have infertility benefits, or have exceeded their infertility benefits.
ParentSteps offers members medical and pharmaceutical preferred rates, educational information about diagnostic and treatment options, infertility expertise and support from a single infertility nurse specialist and online tools to help manage treatment plans.
In addition, the ParentSteps program provides access to our Infertility Centers of Excellence network. These centers are evaluated each year and have a proved track record of successful clinical outcomes and low multiple rates.
2 MayoClinic.com. “Infertility.” Available at: http://www.mayoclinic.com/health/infertility/DS00310. Accessed July 15, 2008.
Reproductive Resource Services
Optum’s Reproductive Resource Services (RRS) offers education and guidance through specialized nurse consultants who work with members throughout the treatment process, and access to infertility treatment through our Centers of Excellence network clinics.
RRS identifies infertility clinics with the highest level of expertise and provides detailed information to help members determine their best course of action for infertility diagnosis and treatment. RRS nurse consultants are available to share this information, answer questions and offer ongoing emotional support during infertility treatment.
Managed Infertility Program
The Managed Infertility Program is a comprehensive risk-bearing infertility solution for health plans. Optum provides specialist nurse advisory, pre-certification, claims processing, and peer-to-peer clinical consultations. The Optum Managed Infertility Program (MIP) is designed to help women optimally navigate the complicated and often stressful aspects of infertility services.
The goals of the program are to:
- Help women obtain the care that is right for them
- Explain and address infertility treatment costs
- Facilitate access to high-quality infertility services
- Reduce the risk of multiple births, as well as the risks and costs associated with the neonatal intensive care unit (NICU)
- Reduce health risks throughout the child's life
We are committed to improving the quality and affordability of health care for all MIP participants. By providing assistance with complex decisions and educating patients about how to obtain the right care, at the right place, at the right time, we can help patients maximize their health care benefits and promote optimal outcomes. MIP nurse case managers and reproductive endocrinologists facilitate early identification and enrollment, education, pre-certification and treatment planning.