IFAASA with SASREG on the breakthrough in their 7 year battle against cover for infertility treatment

Some exciting news to shout out about from South Africa’s national charity IFAASA!

Established in 2013, the Infertility Awareness Association of South Africa (IFAASA) was founded with two main objectives in mind. Firstly, to inform the public of infertility and secondly to tackle the mammoth task of getting medical aids to pay for infertility treatment.

After 7 years of countless meetings, presentations, pleas and pressures, IFAASA in conjunction with the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG) have trumped the treatment of infertility by major medical aid scheme Discovery.

IFAASA Founding Member and CEO, Saskia Williams elaborates on the seven year battle

“Infertility is a prescribed minimum benefit disease meaning that irrespective of the medical aid plan that you are on, you are covered. However, the treatment of infertility is excluded and is the only prescribed minimum benefit disease on the exclusion list of most medical aids. Diagnosis will be paid for by open medical aids, however once you have been diagnosed with infertility, the treatment of such will not be paid for.

With our founding members being on Discovery Medical Aid, IFAASA dived straight in at their 2013 AGM, however made no progress. The following year, IFAASA gathered thousands of proxi’s and presented accordingly at the 2014 Discovery AGM who in turn requested a round table discussion.

That discussion again hit a brick wall, with the only noteworthy progress being that an individual would be allowed to use his/her savings for their treatments.”

A host of analytical findings, countless reports, public campaigns and related pressures via social media were then actioned from 2015 onwards

The IFAASA fertility videos posted on social media proved a hit when going viral as the public applied pressure to their medical aids wanting an explanation as to why it was the only disease on the list that is excluded when it comes to the payment for treatment.

“Credit must go to the public because it wasn’t long until I received a call from Discovery wanting to meet. In partnership with Dr Sulaiman Heylen, President of SASREG as well as Vice President of SASREG Dr Jack Biko, we had countless calls and zoom meetings with Discovery throughout lockdown.

Whilst Discovery will announce the exact details regarding the cover of the treatment of infertility, I am delighted with our “win” in this regard and must thank all those who contributed including Meggan Zunckel, Dr Heylen and Dr Biko.

This is a huge breakthrough for those who have been on the Discovery Comprehensive and Executive plans for 2 years or more and we are honoured to have played our part.

However, it’s is not the end of the road for our battle, as we feel that the benefit should be available on more plans and the other medical aids do need to follow suit or risk possible member decreases. However we have always known that this is a marathon and not a sprint and at last, the 1 in 6 couples who suffer from infertility, are beginning to get the recognition they deserve.”

In short: If members have been on a Comprehensive or Executive plan at Discovery Health for a minimum of 2 years, the medical scheme will cover up to two cycles of Assisted Reproductive Therapy (ART) including In-Vitro Fertilisation (IVF), Intra-Uterine Insemination (IUI), Embryo Transfer (FET) and Intra-Cytoplasmic Sperm Injection (ICSI) starting in 2021. All treatments will have to be done at a SASREG Centre of Excellence.

Further T’s & C’s and co-payments do apply, so ensure that you check the full benefit details with Discovery Health Medical Scheme, before embarking on treatment.

This really is an incredible achievement and triumph by IFAASA and SASREG which will benefit so many.

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