u/Equal_Vermicelli7409

University of Michigan’s “IVF benefits” are A LIE
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University of Michigan’s “IVF benefits” are A LIE

If you are considering taking a pay cut or accepting a lower-paying role at the University of Michigan specifically for their advertised fertility/IVF health benefits, please read this first.

The benefit is structured as a financial illusion.
Here is exactly how the system works to trap employees:

  1. U-M provides an infertility benefit with a $20,000 lifetime cap. However, the medical plan forces you to use their own internal health system—⁠Michigan Medicine (Center for Reproductive Medicine)—or they pay zero.

  2. Because you are trapped in their network, Michigan Medicine bills your internal U-M insurance at massively inflated institutional rates. A single basic IVF cycle can easily clear $30,000 in insurance billing, completely exhausting your lifetime $20,000 maximum before you even reach a single embryo transfer.

  3. U-M's official policy explicitly mandates a pharmacy rider covering 5 lifetime medication fills. However, their third-party administrator (Prime Therapeutics) routinely issues automated verbal denials over the phone, falsely stating fertility medications are excluded. While this can eventually be bypassed via a specific prior authorization hurdle, frontline reps completely misinform patients, threatening an extra $5,000–$8,000 out-of-pocket per cycle.

We were completely priced out of our own employer's medical network. We were forced to bypass our "benefits" entirely and seek care out-of-state at CNY Fertility, paying entirely out-of-pocket because cash-pay pricing at an independent clinic is significantly cheaper than trying to navigate U-M's predatory internal insurance network.
Do not let U-M use "competitive IVF care" as a recruitment tool to justify low wages. If you need fertility care, you will not fine it here.

u/Equal_Vermicelli7409 — 6 days ago