Family-building Benefits through WINFertility

Starting in 2024, infertility benefits under the Cigna plan will be managed by WINFertility (WIN), a leading provider of infertility benefits management. This new partnership is designed to provide personalized assistance, education, and emotional support to employees throughout the process of expanding their families. With WIN’s guidance, eligible members will gain a better understanding of their options so they can choose the best provider and course of treatment. 

Employees enrolled in the Cigna plan and accessing infertility treatment will now coordinate their medical authorizations through WIN. Often times, your physician will do this on your behalf. Pharmacy authorizations will continue to be managed by CVS/Caremark.

Here’s what you can expect from the WIN Program:

• Fertility Benefits: Infertility benefits will be available to all employees and their dependents covered by the Cigna plan. Same-sex couples and single individuals will receive enhanced benefits, however, it’s important to note that the benefits do not cover gestational carrier or surrogacy. 

  Benefits will continue to be offered at a $100,000 lifetime maximum. This is allocated in two parts: $50,000 toward eligible medical expenses related to fertility treatment and a separate $ 50,000 lifetime maximum benefit toward related fertility medications. 

• 24/7 Nurse Care Advocate Support: Including education, clinical guidance, and behavioral heath support to help you each step of the way.
• Compassionate Guidance: WIN’s nurse care advocates and behavioral health care advocates provide concierge clinical guidance and emotional support. 
• Convenient Nurse Access through the WINFertility app: Members can get immediate, personalized assistance whenever they need it, day or night. 

How to get started:

If you are receiving infertility treatment, contact WINFertility’s FCPS-dedicated service team to make an appointment with a nurse care advocate and check the status of your authorizations. You can call 866-898-1522 to speak with a service team member, (M-F, 9 a.m.-7:30 p.m.) or visit the WINFertility website (use code FCPS23 when creating your account).