Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 031 - BUREAU OF INSURANCE › Chapter 865 - STANDARDS FOR FERTILITY COVERAGE › Section 031-865-3 - Definitions

Current through 2024-29, July 17, 2024
1. "Assisted hatching" means a
				micromanipulation technique in which a hole is artificially created in the
				outer shell of an embryo to assist with the potential implantation of that
				embryo.
2. "Carrier" has the same
				meaning as defined in 24-A M.R.S. §4302-A(1)(3).
3. "Cryopreservation" means the freezing of
				embryos, eggs, sperm, ovarian tissue, or testicular tissue.
4. "Egg retrieval" means a procedure by which
				eggs are collected from ovarian follicles, including all office visits,
				procedures, and laboratory and radiological tests performed in preparation for
				egg retrieval; the attempted or successful retrieval of the egg(s); and, if the
				retrieval is successful, culture and fertilization of the egg(s).
5. "Embryo" means a cell or group of cells
				that has the potential to develop into a live born human being if transferred
				into the body under conditions in which gestation may be reasonably expected to
				occur.
6. "Embryo transfer" means
				the placement of an embryo into the uterus or fallopian tube.
7. "Experimental fertility procedure" has the
				same meaning as defined in
				24-A
				M.R.S.
				§4320-U(1)(A).
8. "Federal Affordable Care Act" has the same
				meaning as defined in
				24-A
				M.R.S. §14.
9. "Fertility coverage" means coverage
				provided by a carrier for fertility diagnostic care, fertility preservation
				services, and fertility treatment.
10. "Fertility diagnostic care" has the same
				meaning as defined in
				24-A
				M.R.S. §4320 U(1)(B).
11. "Fertility patient" has the same meaning
				as defined in
				24-A
				M.R.S.
				§4320-U(1)(C).
12. "Fertility preservation services" has the
				same meaning as defined in
				24-A
				M.R.S. §4320 U(1)(D).
13. "Fertility treatment" has the same
				meaning as defined in
				24-A
				M.R.S.
				§4320-U(1)(E).
14. "Fertilization" means the penetration of
				the egg by the sperm.
15. "Gamete
				intrafallopian tube transfer" means the direct transfer of a sperm/egg mixture
				into the fallopian tube by laparoscopy.
16. "Gestational carrier" means a person who
				carries an embryo that was not formed from the gestational carrier's own egg,
				and who intends that a fertility patient, and not the gestational carrier, will
				be a parent of the child after birth.
17. "Iatrogenic infertility" means an
				impairment of fertility caused by surgery, radiation, chemotherapy, or other
				medical treatment affecting reproductive organs or processes.
18. "Infertility" has the same meaning as
				defined in
				24-A
				M.R.S.
				§4320-U(1)(G).
19. "Intracytoplasmic sperm injection" means
				a micromanipulation procedure whereby a single sperm is injected into the
				center of an egg.
20. "Intrauterine
				or vaginal insemination" means the introduction of sperm into the uterus,
				cervix, or vagina by noncoital methods for the purpose of conception.
21. "In vitro fertilization" means an
				assisted reproductive technology procedure whereby eggs are removed from the
				ovaries and fertilized outside the body. The resulting embryo is then
				transferred into the uterus.
22.
				"Maine Health Insurance Marketplace" has the same meaning as defined in
				22 M.R.S.
				§5403.
23. "Microsurgical sperm aspiration or
				extraction" means the techniques used to obtain sperm for use with
				intracytoplasmic sperm injection in cases of obstructive or nonobstructive
				azoospermia. It can involve the extraction of sperm and fluid from epididymal
				tubules or the provision of testicular tissue from which viable sperm may be
				extracted.
24. "Ovulation
				induction" means the use of drugs (oral or injected) to stimulate the ovaries
				to develop follicles and eggs.
25.
				"Standard-setting organization" means the American Society for Reproductive
				Medicine, the American College of Obstetrics and Gynecology, the Society for
				Assisted Reproductive Technology, or their respective successor
				organizations.
26. "Surrogate"
				means a person who carries an embryo that was formed from the surrogate's own
				egg inseminated by the sperm of a fertility patient.
27. "Zygote intrafallopian tube transfer"
				means a procedure whereby an egg is fertilized in vitro and transferred to the
				fallopian tube at the pronuclear stage before cell division takes
				place.