What Insurance Companies Cover Tubal Ligation Reversal?

Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. insure individual and family medical and dental insurance plans. CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates insure or administer group health insurance and health benefit plans (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). CGLIC insures Group Universal Life (GUL) insurance contracts. Except in New York, where insured products are offered by Cigna Life Insurance Company of New York, Life Insurance Company of North America insures or administers life (other than GUL), accident, critical illness, hospital indemnity, and disability insurance (New York, NY). Exclusions and limits are included in all insurance policies and group benefit plans. Contact a licensed agent or a Cigna sales person for availability, prices, and comprehensive coverage details. This site is not intended for New Mexico residents.

Is reverse tubal ligation covered by insurance?

Tubal reversal is performed at a low cost of $5250 by our tubal reversal doctors. Following a tubal ligation, many women find themselves desiring to start a family. Insurance companies rarely fund the reversal of tubal ligation. The charge does not cover the costs of transport and lodging for patients coming from out of town (29)…

Tubal reversal, commonly known as tubal ligation reversal, is a surgical technique that is not suitable for all women who have had a tubal ligation. If you don’t have insurance, we provide tubal reversal as an outpatient procedure for a set fee (30)…

You were without coverage for a month. You can learn more about Medicare prescription drug programs and the coverage they provide by visiting their website. Voluntary surgical sterilization can be reversed. Sterilization on a voluntary basis (e.g., tubal ligation, vasectomy). (31)…

Pre-Surgery Testing is scheduled on March 7, 2019. Certain tubal reversal pre-surgery testing measures may be covered by your Medicaid or private insurance plan. Inquire (32)…

Is insurance going to fund a tubal reversal? In almost all circumstances, insurance does not pay sterilization reversal. Trying to get a tubal reversal to work (33)…

Most health insurance companies do not cover tubal ligation reversal. The following are average out-of-pocket payments for patients whose insurance plans support tubal ligation reversal (34)…

Our fertility specialists will be pleased to talk with you about tubal ligation reversal alternatives and expenses, as well as the prospect of undergoing tubal ligation reversal surgery. Who is eligible for tubal ligation reversal? Several factors are at play. Accepted Insurance Plans Pay a Bill Give a Gift Career Opportunities MyChart (Patient Portal) (35)…

What kind of insurance did you have and how much did it cost? My tubes were tied right before a twin c-section surrogacy when I was 37/38. She didn’t think it was true, and (36)…

Tubal Reversal (Reanastomosis) is a service provided by the Reproductive Medicine Group. The majority of insurance companies do not cover this procedure, but The Reproductive Institute does. If you are an out-of-town patient looking for tubal reversal in a certain location, we can help (37)…

27 August 2020 — Women who have their tubes tied but subsequently decide to have children might undergo a tubal reversal treatment at Mid-Iowa Fertility. is not covered by any insurance company, thus you must pay in full up front (38)…

How much does it cost to reverse tubal ligation?

In the United States, the average cost of reversing a tubal ligation is $8,685. However, expenses might range from $5,000 to $21,000, depending on where you reside and what testing you require beforehand. Although most insurance plans do not cover the cost of surgery, your doctor’s office may offer a payment plan.

What’s cheaper IVF or tubal reversal?

In various studies, live birth rates after microsurgical tubal reversal have been reported to range from 55 to 81 percent. The age of the patient at the time of the reversal has the greatest impact on these rates. A cumulative pregnancy rate of nearly 70% within 18 months of surgery was observed in one review among women younger than 35 years of age with no other substantial reason of infertility. Tubal reversal is relatively efficient when measured in terms of cost per cycle. However, when measured in terms of success per cycle, tubal reversal success rates are rather low: fewer than 5% in most series. This means that numerous cycles are frequently required to attain success. Another issue is the time interval between surgery and conception: with each year of failed conception after surgery, the chances of an ectopic pregnancy, should one occur, increase dramatically.

The issue is hence the effect of growing older on the likelihood of a successful conception. Because many couples pursuing tubal reversal after finishing their first families are doing so in the context of a new marriage or relationship, the woman is often at an age when fertility is naturally and drastically diminishing. As one gets older, the chances of completing a cycle decrease to ever-lower levels. If pregnancy does not develop after tubal reversal in a timely manner, IVF is the only other choice. If tubal reversal fails as the woman ages, her chances of success with IVF are diminished, and the expenses of both operations are thus coupled if the couple must resort to both.

The age of the female has a significant impact on IVF success rates. Overall live birth rates in the United States vary substantially between 20 and 35 percent per cycle. For women under the age of 35, most credible IVF clinics report success rates of at least 35-40 percent, and often higher. Women over the age of 35 had lower rates, which decline rapidly by the age of 40-42 and beyond. The majority of IVF pregnancies are singletons, but multiple gestations are significantly more common than in spontaneous conceptions: roughly 30% of all IVF pregnancies are multiples, with the majority being twins. When measured in terms of cost per cycle, IVF can be quite costly. In terms of success per cycle, however, IVF success rates are significantly greater than tubal reversal success rates.

Can I make payments on a tubal reversal?

To set up a tubal reversal payment plan, apply for a medical loan (Sponsored Link). If your application is approved, the lender will send the funds immediately into your checking account, allowing you to choose the surgeon with the best track record for recovering fertility following elective sterilization.

You’ll start repaying the lender several weeks following the funding date in regular monthly installments. The amount owed each month will be determined by a number of factors.


Surgical centers that offer in-house tubal reversal payment plans aren’t always what they seem, and waiting until the last minute can hinder your chances of getting approved.

Would you go to your local bank and request that your tubes be untied? That, of course, would be absurd. Similarly, surgeons rarely fund their own projects. Patients are instead sent to third-party companies like one of these.

Although in-house financing provides simple one-stop shopping, it does little to improve your chances of acceptance because a third party is frequently involved. If the company to which they send patients has tight standards, you risk being rejected.

Credit Cards

A medical credit card, such as those offered by Care Credit and other firms, is another alternative for setting up a tubal reversal payment plan. Patients have the luxury of flexible installments with these revolving arrangements, which can be a blessing or a curse if you don’t read the tiny print.

  • Zero percent interest is available through promotional deals if you repay the entire sum within six or twelve months.
  • If you do not repay the entire promotional debt within the specified time, you will be charged 26.99 percent delayed interest.

FSA Loans

If your work offers it, a Flexible Spending Account (FSA) is the most cost-effective option for a tubal reversal payment plan. During open enrollment, choose to contribute the entire amount ($2,750 per person) and have your surgery at the start of the FSA plan year.

What is the CPT code for tubal ligation reversal?

Tubal ligation is frequently not covered by insurance. They may cover some of the pre-surgical evaluation or testing but not the procedure.

Approval by the insurance company does not always imply that the service is covered.

If the service was excluded or otherwise not covered, the claim for an approved service may be denied.

Check for exclusions as well as coverage.

Can your tubes become untied naturally?

Obviously, the purpose of tubal ligation is to prevent conception indefinitely. Nature, on the other hand, succeeds in overcoming this barrier to fertilization roughly 1 to 2% of the time. You’re more prone than typical to have an ectopic pregnancy if this happens.

What type of tubal ligation is not reversible?

Sterilization with tubal clips or rings is one example. The Essure and Adiana systems, which cause scarring to close off the fallopian tubes, aren’t usually reversible.

Can you get pregnant with your tubes tied after 10 years?

Women who get a tubal ligation at an early age have an increased risk of pregnancy. The following is the risk of pregnancy ten years after a tubal ligation: Women under the age of 28 make up 5% of the population. 2% of women between the ages of 28 and 33.

How can I get pregnant without my tubes untied?

Many women who have undergone a tubal ligation, also known as a tubal severance, “as a result of having their tubes shut,” find themselves desiring another child as a result of life changes. But, if a woman has had a treatment that is considered a permanent type of birth control, may she become pregnant? Yes, and the first step in determining all of your alternatives is to speak with a reproductive endocrinologist.

SGF’s Frederick and Hagerstown, MD clinics’ Dr. Jason Bromer says, “Women who have had their tubal ligations are among our most successful patients since we know they had previously been fertile. After tubal ligation, there are two ways to get pregnant. Patients’ only choice in the past was to undergo a procedure known as tubal reversal. In vitro fertilization, or IVF, has now become a viable choice for women.”

IVF is usually always the superior option because it gives people the best chance of becoming pregnant in the shortest amount of time while also avoiding a major medical operation.

Tubal reversal surgery

Tubal ligation can be done in a variety of ways, but the end result is usually the same: the Fallopian tubes are blocked, preventing pregnancy. “The surgical removal of the central section of the tubes is the most common way of tubal ligation,” says Dr. Bromer. “The purpose of tubal reversal surgery is to reconnect the tubes so that they can open completely.”

The most recent tubal reversal surgery treatments require only one day of surgery and seven days of light bed rest afterward. Patients get a hysterosalpingogram (HSG) about 3 months after surgery to assess the tubes’ condition. An HSG is a diagnostic procedure that uses x-ray technology to reveal the flow of dye into the uterine cavity through the uterus and Fallopian tubes. It reveals whether there are any lingering obstructions in the tubes that could impede conception.

Tubal reversal success and increased risks

Two factors determine whether tubal reversal surgery can be conducted effectively. “Is there enough healthy tissue on each end of the tube to rejoin it, and is the reconnected tube long enough to function properly?” Dr. Bromer explains. Unfortunately, not all patients have re-connectable tubes.”

“Even when the tubes are successfully reattached, scarring of the tissue might occur, interrupting the tube’s flow,” explains Dr. Bromer. “About a quarter of the time, this happens.” If the HSG reveals that the tubes are open, the patient can begin trying to conceive during her following cycle.

After tubal reversal surgery, there is an increased risk of ectopic pregnancy. “An ectopic pregnancy after tubal reversal surgery is a 10 to 20% risk,” Dr. Bromer explains. When a fertilized egg becomes caught in the Fallopian tubes and implants there, it is called an ectopic pregnancy. Ectopic pregnancies must be terminated with medication or surgery to avert a life-threatening rupture of the Fallopian tube.

Because the tubes cannot always be rejoined, the success rate for achieving pregnancy following a tubal reversal for women under the age of 37 is roughly 40%.

IVF and success rates

In vitro fertilization, or IVF, is another popular option for women who want to get pregnant following a tubal ligation. IVF is a procedure that involves fertilizing an egg in a lab and then transferring it to a woman’s uterus. The Fallopian tubes are totally bypassed, allowing for pregnancy.

Any woman with a good ovarian reserve or who has tried and failed to reverse tubal ligation is a suitable candidate for IVF treatment. “Even couples with fertility issues other than tubal ligation, such as advanced age or male factor infertility, can benefit from IVF,” says Dr. Bromer.

It takes roughly two months to finish an IVF cycle. Patients are provided injectable hormones that stimulate egg maturation after the assessment and hormone suppression phase of the cycle. The patient is seen often for ultrasound and bloodwork during this 10- to 12-day stimulation period to assess the size of egg-containing follicles and hormone levels.

An egg retrieval procedure is conducted at the end of this cycle. The eggs are fertilized with sperm from either the spouse or a donor and developed into 3- or 5-day embryos. The woman’s uterus is then implanted with one or more embryos. A blood pregnancy test reveals the results two weeks later.

The success rate of IVF in achieving pregnancy is often higher than that of tubal ligation. Even when just one embryo is transferred, IVF has a 50 to 60% success rate for women under the age of 38 at SGF.

How much does it cost to get the Essure removed?

Essure, a birth control pill made by Bayer, is a permanent female sterilization method. Women, on the other hand, may have Essure removed.

Some women may choose to bear a child naturally by reversing the surgery. Others may need to have their Essure coils removed if they experience severe Essure adverse effects.

Essure removal procedures can cost anything between $4,000 and $8,000. The price is determined on the degree of side effects as well as the type of surgery.

Essure removal should be covered by most insurance policies. Patients should double-check with their insurance company.

Essure lawsuits have been filed by women who claim Essure caused them harm. According to the Essure lawsuits, the birth control device is difficult to remove and may necessitate many procedures.