ORM Fertility does not accept Medicaid or Medicare insurance plans. We will not bill Medicaid/Medicare for any services provided by ORM or RML as we are not participating providers. You will be financially responsible for all services and payment will be due at the conclusion of each office visit.

If ORM Fertility is out of network with your insurance plan, you may have limited coverage through an out-of-network benefit. We will check for out-of-network coverage as part of the insurance benefit determination process.

If a prior authorization is required for your services, it is your responsibility to determine if an authorization is on file before beginning your treatment cycle. If you wish to proceed with treatment prior to obtaining authorization, you may be expected to pay out of pocket.

Our physicians are specialists in Reproductive Endocrinology. If you are seeking care in order to achieve a pregnancy, you can expect that most, if not all, of your visits, will be coded (diagnosed) as infertility or infertility related.

*Please note most insurances exclude any infertility services when infertility is a result of a tubal ligation or vasectomy.

Insurance companies have the right to review claims for proper reimbursement up to three years after the claim is made. This means that reimbursements that were made in the past can be reversed. When this occurs, the insurance company can demand refund reimbursement from you or our practice. Should an insurance company in the future deny benefits for services rendered in the past and thus request refund of payment to them, payment for the services becomes the responsibility of the patient.