| Special Diet, co-pay, travel. Deductibles, etc. (receitps must be presented) | (up to $2000,00) |
| Start of Medication (each) | $500 |
| Embryo Transfer (each) | $500 |
| Dropped Cycle Fee | $2,500.00 |
| Each Invasive Procedure (Abortion/ Termination - Amniocentesis or CVS - Ectopic Pregnancy - Fetal Reduction) | $500 |
| C-Section | $2,500 |
| Loss of Any Organ (within 3 months of Delivery) | $4,000.00 |
| Bed-rest and Childcare (up to 3 months of medically required bed-rest including lost wages, childcare and house cleaning) | $500.00 max. per week |
| Twins/Triplets/Quadruplets | $3000 – $6000 – $9000 |