Preconceptional Sex Selection Techniques

Aetna covers preconceptional sperm-sorting to enrich for X-bearing sperm only when medically necessary to prevent conception/birth of a male in a woman known to be heterozygous for a seriously handicapping X‑linked condition (e.g., Lesch‑Nyhan); sex selection for personal or family reasons (including family balancing) is excluded. Assisted reproductive procedures done solely for sex selection (e.g., IVF/ICSI) are not considered treatment of disease and coverage for IVF/ART or post‑sorting infertility services depends on the member’s plan and applicable state mandates, and sperm sorting does not guarantee fetal sex.

"When medically indicated, invasive prenatal diagnostic procedures to confirm the sex of the fetus should be offered to the patient utilizing preconceptional sex selection techniques."

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