 [ Symptoms ] what about americans without access to emailthe internet  how can they access information about coverage available under the affordable care act [ Disease ] yes it is possible but the re anastomosis re attaching the tubes is a very delicate microsurgical procedure that has a significant failure rate it is also very expensive and not likely covered by your insurance since you had a voluntary sterilization procedure you can consider in vitro but this is expensive and may not be insurance covered either you can apply to adopt a child if this is an option that you have not considered