In-network fertility benefits, including artificial insemination, ovulation induction and advanced reproductive treatment (ART), are covered under Merck’s medical plan at 80%, after the deductible. A combined lifetime maximum of $25,000 applies.
Fertility preservation (e.g., cryopreservation and the storage of cryopreserved egg, sperm and embryo) is also covered when medically necessary, such as with the diagnosis of cancer or gender dysphoria.
You do not need to be diagnosed as infertile to take advantage of fertility benefits. This means anyone can use fertility benefits at any time.
If you are enrolled in the Merck medical plan and want to begin using Merck’s fertility benefits, contact a Horizon Health Guide at 877-663-7258, Monday through Friday, 8 a.m. to 11 p.m. ET. They will connect you with WINFertility, our family-building advocacy support program
Every family-building journey is unique and some require additional support and care. WINFertility, our family-building advocacy support program, is ready and waiting with medical expertise and emotional support.
As you explore or begin fertility treatment and/or preservation, WINFertility’s nurse care managers and behavioral health specialists will help you navigate the entire process and provide clinical oversight, emotional support and education.
If you are enrolled in the Merck medical plan and want to begin using Merck’s fertility benefits, contact a Horizon Health Guide at 877-663-7258, Monday through Friday, 8 a.m. to 11 p.m. ET. They will connect you with WINFertility.
Cryopreservation for egg, sperm and embryo and the storage of cryopreserved egg, sperm and embryo is covered when medically necessary, such as with the diagnosis of cancer or gender dysphoria. Please note: cryopreservation is subject to the $25,000 lifetime maximum.
To get started or for more information, contact a Horizon Health Guide at 877-663-7258, Monday through Friday, 8 a.m. to 11 p.m. ET.
Lyra mental health support*
Lyra provides fast access to high-quality evidence-based mental health care. The first 12 sessions are free and available to you, your spouse/domestic partner, any of your household members and your dependent children outside the household (up to age 26). Following your online assessment, Lyra creates a care plan for you, designed specifically for your unique needs and lifestyle, including a curated selection of mental health coaches and therapists who are currently taking appointments. With Lyra, you can book an appointment with the provider who works best for you.
Visit merck.lyrahealth.com or call 844-737-9423 to get started.
*Merck medical plan members enrolled in the Merck PPO with Horizon BCBS can continue therapy with their Lyra provider beyond the 12 free sessions, and access medication management, all subject to in-network deductibles and coinsurance. Please note: Guided self-care and coaching are not available beyond the 12 free sessions. Medication management sessions are not included in the 12 free sessions. Lyra’s pricing varies based on the provider and type of service. For details on the in-network deductible and/or coinsurance you will be expected to pay, go to the Medical and prescription drugs section of this site. For questions about Lyra provider session rates, contact the Lyra Care Navigator Team at 844-737-9423 or email them at care@lyrahealth.com.
Call a Horizon Health Guide at 877-663-7258, Monday through Friday, 8 a.m. to 11 p.m. ET for help with:
