Infertility services

Infertility is when a person is unable to achieve pregnancy after:

  • One year of egg-sperm contact efforts when the person attempting conception is under age 35, OR
  • Six months of egg-sperm contact efforts when the person attempting conception is age 35 or older

Egg-sperm contact can be from sexual intercourse or artificial insemination (intrauterine, intracervical or intravaginal). Infertility may also be caused by a problem with the reproductive tract that makes egg-sperm contact ineffective. This explanation applies to all individuals regardless of sexual orientation or the presence/availability of a reproductive partner.

To learn more about infertility coverage, limitations and exclusions, please refer to the Official Plan Brochure.

Healthy Maternity program

Our Healthy Maternity program provides tools and support for every stage. You can get trusted information and guidance about family planning, maternity support and postpartum care.

With this program, you’ll also have access to:

  • Nurses who are trained in obstetrics and high-risk pregnancy
  • Behavioral health support, including referrals to resources to help with stress, depression and anxiety
  • Postpartum depression screening and support
  • Resources and educational materials through our Maternity Support Program
  • Genetic counseling and testing
  • Preeclampsia prevention — If you’re identified as high-risk, you’ll get helpful information about the risk factors and the benefits of aspirin therapy.
  • One-on-one support from a fertility advocate to help you with your infertility journey, fertility preservation, same-sex conception needs and more. They’ll also provide support and guidance during fertility treatment and if you become pregnant. To reach a fertility advocate, call 1-833-415-1709 (TTY: 711).

We’re here for you

No matter where you are on your journey, our nurses and experts are here to support you along the way. Participation in this program is voluntary and available at no cost to you. The participant and their physician or healthcare provider remain in charge of the participant’s treatment plan. If you would like more information or would like to enroll in the Healthy Pregnancy Program, contact the Plan at 1-855-282-6344.

The Centers for Disease Control and Prevention (CDC) HEAR HER™ Campaign seeks to prevent pregnancy-related deaths by sharing potentially life-saving messages about urgent warning signs. For more information on the HEAR HER Campaign visit the CDC website.

Contraceptive coverage

Under The Affordable Care Act, coverage of certain preventive services, including contraceptives, must be provided at no cost. RCBP covers at least one form of contraception from each category as listed in the ACA/HRSA site. For a list of no cost drugs, go to Section 5(a), 5(b) and 5(f) of your official plan brochure for additional details. If your prescriber believes that a non-formulary contraceptive is medically necessary for you, your prescriber may request an exception. Please ask your provider to complete the Contraception Exception Form found in the Official Plan Documents to determine if the product is medically necessary. More information is available within the Contraception Exception Process.

You can learn more about contraception resources and reproductive rights at these websites:

Please contact OPM if you have difficulty accessing contraceptive coverage or other reproductive health by emailing: contraception@opm.gov.