Compare the Best Fertility Insurance
| Company | Plans (type) | Providers In-Network (number) | States Available (number) |
| UnitedHealthcare Best Overall | HMO, HMO-POS, PFFS, PDP, D-SNP, PPO, EPO ... | 1.3 million | 50 states |
| Cigna Best IVF Treatments | HMO, PPO, EPO, POS, SNP, PDP | Does not state | 10 states |
| Aetna Best Additional Resources | HMO, PPO, POS, EPO, HDHP | 1.2 million | 50 states and Washington, D.C. |
| Wellcare Best Affordable Policies | HMO, PPO, PFFS, D-SNP, C-SNP, PDP | 571,000 | 50 states |
Full Answer
Will my insurance pay for fertility treatment?
Standard Health Insurance: This type of fertility insurance involves paying a monthly premium to your insurance provider. In exchange for this monthly premium, your insurance provider will pay for certain fertility treatments, up to a maximum dollar amount.
Does your health insurance cover fertility treatment?
Your health insurance policy may partially cover some of the costs of your procedure. In today’s guide, you’ll learn about different fertility benefits that are available for prospective parents. But first, make sure you have the right health insurance plan.
Do health insurances cover the fertility treatments?
The law does not require insurers to cover fertility drugs, IVF or other assisted reproductive techniques, reversal of a tubal ligation, a vasectomy, or any other method of sterilization. Employers who self-insure are exempt from the requirements of the law.
Which insurance covers infertility treatment?
The IVF insurance product therefore covers eligible Gaia members for treatment fees if the initial IVF treatment programme is not successful. Policyholders are also offered a fund that can be used to pay for counselling costs.
Infertility Insurance Coverage & Benefits
Insurance benefits vary widely, and it is impossible for us to cover every possible scenario of coverage factors with each plan. Because each plan is selected by you or your employer, it is important to call and get specific information about your insurance coverage before you begin treatment.
Questions You Should Ask Your Insurance Company About Fertility Coverage
Does my insurance cover infertility testing (i.e. lab work, ultrasound, hysterosalpingogram, andrology services)?
What If You Don't Have Fertility Insurance Coverage?
If you do not have insurance coverage for your fertility care, there are other options available for prompt payment for services. We have developed discounted global cash packages for different treatment options and we accept Visa, Mastercard, Discover and American Express.
Fertility Insurance FAQ's
Will my health insurance pay for any infertility treatment? If your employer has purchased infertility as a benefit, it will be covered by insurance. Those benefits vary per employer. Our staff will do a complete benefit check and review your benefits at your financial consult.
How many states have infertility mandates?
State insurance mandates for infertility and IVF services. There are currently 15 states that have infertility mandates of some kind. The mandates are very different in terms of what is covered – how many IVF cycles, etc. Some of the mandates are very comprehensive and others much less so.
Does insurance pay for infertility testing?
Health insurance plans will commonly (but not always) pay for services related to testing for infertility. However, many plans say that once the diagnosis has been established that they will no longer pay for fertility related services.
Does insurance cover in vitro fertilization?
Medical insurance coverage for infertility treatment and for IVF, in vitro fertilization can be straightforward or complicated. This is an effort to explain some of the issues regarding health insurance coverage for infertility testing and treatment.
Does Wisconsin have IVF insurance?
Unfortunately, Wisconsin does not yet have any state mandat e for infertility or IVF services to be covered.
Is there a loophole in the Illinois infertility insurance mandate?
Loopholes in the Illinois infertility insurance mandate. It might seem that a mandate should be a mandate. However, in the case of Illinois, someone has decided that the IL mandate is “somewhat optional” (my own take on the situation). It has evolved over the years since 1991 so that now (2015) there seem to be some loopholes ...
Does insurance cover IVF?
In other cases, insurance will cover testing and treatment up to and including intrauterine inseminations – but they will not cover IVF – in vitro fertilization services. Sometimes the “monitoring” of the IVF ovarian stimulation (blood and ultrasound tests) are covered, but all of the (more expensive) IVF codes are not covered.
What is IUI in fertility insurance?
Intrauterine insemination (IUI) to pass sperm into the uterus. In vitro fertilization (IVF) which fertilizes an egg outside the body then returns it to the uterus. Egg and sperm donation. The laws surrounding fertility insurance are complicated and may be unique to a particular state.
What are the services that women receive for ovulation?
For women, these may include ovulation-inducing medications, ovulation monitoring studies, procedures to remove obstructions in the fallopian tubes, assisted embryo hatching, and other services. For men, services include semen analysis, surgeries to correct obstructions, endocrine treatments, and sperm extraction.
How much is the deductible for a bronze plan?
Expect to pay around $400 per month with a $7,000 deductible for a bronze plan, up to $1,000, with $0 deductible on the platinum plan. Depending on the plan, the maximum out-of-pocket is around $8,000. Standard ACA rules apply for waiting times and no exclusions for pre-existing health conditions.
Why is Aetna the best?
Why We Chose It: Aetna is our best for additional resources choice as they provide online tools and information about fertility treatments, and they boast an Institute of Excellence (IOE) infertility network.
How much is Aetna Medicare Plus?
These include the Aetna Medicare Plus Plan with prescription drug coverage. It has a $0 monthly premium, $0 deductible, and a maximum out-of-pocket of $999 per year. This is in addition to Medicare Part A and Part B premiums, which for most people means the standard Part B Medicare premium of $148.50. 6.
How many rounds of IVF can I get with Blue Cross Blue Shield?
Some BCBSA companies exceed the mandated three rounds of IVF and may offer up to eight total cycles, making it an obvious choice for best for multiple treatment rounds.
How many people in the US have infertility?
According to the Center for Disease Control, infertility is a common problem. About 9% of men and about 11% of women of reproductive age in the United States have experienced fertility problems. 1 Despite the need for fertility assistance, costs are high and inaccessible to many.
What is fertility insurance?
Fertility insurance is health insurance that covers the diagnostics and treatments needed to help potential parents who are struggling to conceive or to carry a child to term. Fertility insurance isn’t usually a separate health insurance policy but is covered under health care plans by many health insurers. Seventeen states currently have laws ...
What is the rating of Wellcare?
The National Committee for Quality Assurance (NCQA), which is an accreditation organization that rates health plans, gave WellCare a rating of 2.5 to 3.5 out of 5.0 in 2020. Read the full Wellcare review .
Why do we need progyny?
Progyny is a premium fertility insurance benefit that companies are able to offer their employees to provide them with the best access to assistive reproductive technologies. It provides coverage only for fertility treatments. Pros. Covers the most effective treatments first.
Does Wellcare cover vasectomies?
Coverage does not include reversal of vasectomies. Overview. Wellcare wins for the best provider of affordable fertility coverage because they offer Medicaid and Medicare coverage that includes some fertility coverage. Its coverage supports members who experience infertility between the ages of 21 and 44.
Does health insurance cover fertility?
Seventeen states currently have laws making it necessary for health insurance providers to cover fertility treatments. 1 But, since it is not required in all states, not all insurers cover treatments, and some might cover a limited number of treatments or only certain types of procedures. This roundup will help readers find a health insurance ...
Does fertility insurance cover progyny?
Except for Progyny, all are part of larger health care plans with fertility services offered as part of that plan. Your coverage from some of the health care insurance providers on this list might vary depending on your state. However, all offer coverage options for those experiencing infertility.
Does Aetna offer Medicare?
In total, Aetna’s network has 1.2 million health care professionals, over 690,000 specialists and doctors, and over 5,700 facilities. Aetna does not offer individual and family plans on the health insurance marketplace. They only offer Medicare, Medicaid, and employer-sponsored plans.
What Is Infertility Insurance?
For people trying to conceive, infertility can be difficult to talk about and even more difficult to live through—but infertility insurance can make it a little more bearable.
How Infertility Insurance Works?
Infertility insurance usually isn’t a separate policy but can be covered under your existing policy. It’s for those who are struggling to conceive or carry to term and can cover a range of treatment options.
What Does Infertility Insurance Cover?
Treating infertility can be complex and each insurance provider can offer different coverage, which makes it even more challenging to understand coverage. However, some of the services covered under infertility insurance can include:
What does it mean to have a partner with whom you can conceive?
Untangling your (and/or your partner's) classification by the insurance company can be complicated. It generally means whether or not you have a partner with whom you can (biologically) conceive, whether or not you have the ability to carry a child, and whether or not your partner has the ability to carry a child.
How much does it cost to carry a baby?
This cost can vary dramatically but can be anywhere from $15,000–$40,000.
Does health insurance cover gender?
Health insurance pays for services based on gender of the parents—but it generally pays differently based on sex assigned at birth as well as current gender. For example, two women won't get the same coverage as a heterosexual (cisgender or transgender) couple.
Is fertility treatment covered by insurance?
Again, it depends on how you are classified medically and whether or not it's considered a fertility treatment. If it is, some might be covered by insurance, assuming the approved order of operations is followed—though many of the costs (fees, storage, etc.) likely won't be covered.
What is the name of the insurance company that covers IVF?
WASHINGTON, D.C. 1310 G Street, NW. Washington, DC 20005. The Blue Cross Blue Shield Association (BCBSA) stands out as one of the most recognized insurance providers in the U.S. and worldwide. The company covers all aspects of healthcare including infertility treatments such as IVF and IUI for its policyholders.
What services are covered by IVF?
These can include coverage for medication, lab work, and pathology.
What is the number to call for IVF?
United Healthcare IVF coverage. 1-866-414-1959 / TTY 711 for general information. 1-877-844-4999 / TTY 711 for technical issues. Like other insurance providers for IVF and IUI, United Healthcare also provides specific infertility coverage based on their specific benefit plan.
How many IVF treatments are covered by Emblemheath?
This coverage extends to cover three IVF treatments per lifetime for infertility. Emblemheath defines “infertility” as a condition that incapacitates one person to conceive or impregnate another after a period of 12 months of unprotected sex.
How much does it cost to have an IVF cycle?
Since it is a costly procedure, with the cost of one IVF cycle averaging $12,000-$15,000 in the US, getting in touch with the right health insurance provider can really help manage the expenses involved. And it usually involves more than just one cycler to work. Most health insurance companies use their own definitions and standards ...
What are the procedures for IVF?
Some cases of IVF treatment may also use additional associated procedures that get coverage such as: 1 Microscopic epididymal sperm aspiration (MESA) 2 Testicular sperm extraction (TESE) 3 Testicular sperm aspiration (TESA)
How long does it take to get pregnant after artificial insemination?
Single women or otherwise, trying to become pregnant after 6 trials of artificial insemination that is medically supervised for over 12 months also qualify.