Can someone please explain the difference between what is covered (left) and what is not covered (right)? I'm so confused. They sound the same to me...!

My RE said she would put me on fermera after my next cycle if I don't get pregnant on my own..(I don't ovulate regularly and am on metformin) But the fermera, and the 2 ultrasounds during the cycle, both wouldn't be covered.. Isn't the fact that I'm not ovulating a medical issue that should be covered?