Claims history demonstrates 30% higher claims cost for surrogate pregnancies.
The United States health care system is principally funded through private insurance. Statements from major medical companies have alleged an individual accessing insurance coverage for a surrogate pregnancy is a "profit making or third party liability activity" that insurance companies are not obligated to pay under the insurance contracts.
Major medical insurance companies may deny any surrogate related claims and several major carriers are updating their booklets to exclude surrogate pregnancies. Therefore, individual or group coverage for your surrogate may be insufficient to cover Intended Parent(s) liability.
For too long the major medical insurance industry has given ambiguous and contradictory insurance information regarding surrogate pregnancies. To avoid ambiguity, disclose on any application for insurance that you are in the surrogacy process or have a written confirmation from the insurance carrier they will specifically pay claims for surrogate maternity and delivery care.
Major Medical insurance companies have the right to review or deny claims up to two years after claim occurs.
Here are good explanations of why you need the Surrogate Maternity and Cycle Medical Plan®:
1. Potential financial risks.
Starting a family involving assisted reproduction includes greater risks than those faced by other parent(s). The Surrogate Maternity and Cycle Medical Plan® offers confidence and peace of mind that all parties involved will not be denied for a surrogate pregnancy. New Life Agency specializes in mitigating this kind of risk for the eventualities that could jeopardize the well being of yourself and your new family.
2. Disruption of surrogates' personal policy.
Surrogates will not have to risk denial or cancellation of their personal individual or group insurance plan because of surrogacy related insurance claims.
3. Higher risk on IVF pregnancies.
Claims for Surrogates have a 30% higher claims risk ratio. The Surrogate Maternity and Cycle Medical Plan® is specifically designed to manage surrogate pregnancy claims.
4. Paying claims for a third party surrogacy agreement is difficult to manage.
All claims will be managed through your Claims Fund AccountSM. Neither you nor your surrogate nor your surrogacy industry professional will ever pay claims directly as long as you stay in network. An explanation of benefits with claims detail is issued every time a claim is paid from your Claims Fund AccountSM and is available upon your request.
5. Claims are aggressively discounted through our Third party administrator.
The claims administrator's duty is to achieve the lowest negotiated rates which will reduce your liability when complications arise.
6. Large network of medical providers.
The network accesses one of the largest PPO medical provider networks in the nation; offering cost savings based on agreed contracted network service provider rates.
7. When your surrogate relocates to a different state you have coverage.
In the event your surrogate may move to a different state the Surrogate Maternity and Cycle Medical Plan® will manage claims the same as the state she applied for insurance within the network of providers.
8. Refund of Premiums.
If a pregnancy is never achieved, 100% of premiums paid are refunded, less a $750.00.($1,500.00 on SMC Back Up plans)
Broker/ Administration Fee.
