Women’s health

Your UC PPO plan coverage includes holistic services throughout all stages of pregnancy, including coverage for prenatal visits, delivery, and postpartum and newborn care. Learn more about your coverage at anthem.com/ca.

The journey to parenthood is not always easy. If you are struggling to conceive, WINFertility is here to help.

Members enrolled in the Anthem UC Care, HSP, and CORE medical plans are provided a 2-cycle lifetime maximum benefit toward eligible expenses related to fertility treatment and related fertility medications. Coverage includes IVF, GIFT, and ZIFT coverage with 50% coinsurance (after deductible), up to a combined limit of two treatment cycles per lifetime, per member.

The benefit also includes artificial/intrauterine insemination (IUI) cycles, assisted reproductive technologies (ART), and related services as well as infertility specialty medications (also subject to coverage maximums). It does not cover expenses for surrogacy, fees associated with surrogacy or expenses for procuring donated oocytes or sperm.

All fertility services are subject to medical necessity and prior authorization by WINfertility, which will also provide a range of support services.

What you can expect

WIN will help you better understand your options so you can maximize your benefit and choose the best course of treatment. More importantly, WIN knows this can be an extremely stressful and emotional time in your life, and is here to support you through your fertility journey.

• 24/7 access to WIN’s Nurse Care Managers for emotional guidance and support
• Assistance in selecting a high-quality, in-network provider based on your individual treatment needs
• Expertise in understanding complex information and decisions regarding infertility causes, testing and treatment option success rates and risk
• Guidance to help increase the efficient use of hormonal medications to avoid wastage and over-stimulation
• Education on your pharmacy dosing usage, storage, and medication side effects and also assistance in maximizing your infertility medication benefit
• WINFertility will assist you in selecting the right provider and navigating the system, your care and benefits. Working together with your health plan network of doctors and pharmacies, WIN provides you with total support and coordination of care.

What it costs

• After any applicable deductible, you pay 50% coinsurance for each treatment cycle. (Maximum of two combined cycles per lifetime for each covered member.) Your costs do not count toward the plan’s out-of-pocket maximum.

Get started

For benefit details and eligibility, contact WINFertility at (877) 451-3077, or visit managed.winfertility.com/universityofcalifornia. Service team members are available Monday–Friday 6 a.m.–4:30 p.m. PT. And download the WINFertility Companion app from Google Play or the App Store to take advantage of your benefits on the go. (App code: UCA23.)

For more information, see the detailed coverage information [PDF].

UC Health offers expertise in midlife and menopause care and treatment. All UC Health providers are in-network for the UC PPO plans.

• UC Berkeley Menopause Supportive Workplace
• UC Davis Menopause Resources
• UCI Health Women’s Health Services
• UCLA Health Comprehensive Menopause Care
• UC San Diego Health Menopause Health
• UCSF Health Menopause Resources

You can also discover a range of no-cost UC systemwide and campus resources – from mental health to diabetes prevention programs – to support your well-being.

Findhelp, the largest network of free or reduced-cost social assistance programs and resources in the United States, is available to all members of the UC community. For resources in your area, go to findhelp.com, enter your ZIP code and search for “women’s health.”

Struggling with hot flashes, poor sleep, weight gain, brain fog or other symptoms? It could be your hormones. Perimenopause and menopause bring real symptoms that deserve real relief. Midi Health’s expert clinicians can help. All providers are in-network with the UC Care, UC Health Savings Plan and CORE PPO plans.

What you can expect

Midi clinicians specialize in treating the dozens of symptoms that can stem from the hormonal changes of midlife. View why women come to Midi.

Midi connects you to expert clinicians via virtual visits and offers the following:

• Access to clinicians who specialize in menopause care and not only treat patients, but listen to patients
• Evidence-based, holistic and customized Care Plans
• Convenient virtual visits with easy online scheduling
• All the follow-ups you need to feel better, plus 24/7 messaging

After discussing your symptoms and health history, your Midi clinician will help you get any necessary lab tests and will create a personalized Care Plan. Treatment is customized to your needs and preferences and may include:

• FDA-approved hormonal prescriptions, including hormone replacement therapy (HRT)
• Nonhormonal prescriptions
• Supplements and botanicals
• Lifestyle coaching
• Wellness therapies

Actual Midi patients tell it like it is.

What it costs

Midi is an in-network provider and is covered just like other types of doctor and specialist office visits.

Get started

For more information and to book a Midi visit, go to joinmidi.com/uc.

You can also search for specialized midlife and menopause care from providers in your network with the Menopause Society Certified Professional (MSCP) designation. MSCP providers are dedicated to creating a comfortable environment for discussing your symptoms and health issues and delivering high-quality, tailored care.

Start your search for a certified menopause practitioner. After locating a provider near you, access the personalized Find Care provider search on the Accolade digital member portal to confirm the provider participates in the Anthem network. Or call Accolade at (866) 406-1182 for help.