Does Blue Cross Blue Shield cover any IVF?
Asked by: Jeanette Thompson | Last update: September 14, 2025Score: 4.5/5 (69 votes)
Is IVF usually covered by insurance?
Infertility treatment is covered by insurance much less commonly than testing is. Outside of a state-mandated situation, when there is coverage for infertility treatment, it is fairly common for plans to exclude IVF or to have a lifetime maximum benefit.
How to find out if your health insurance covers IVF?
You can find out if you have coverage for infertility care. Just call the Member Services number on the back of your insurance card. Member Services also can tell you if you have a specific network of providers who give this care.
Does Blue Cross Blue Shield IL cover IVF?
Yes, in Illinois benefits will be provided the same as your benefits for any other condition for Covered Services rendered in connection with the diagnosis and/or treatment of infertility, including, but not limited to, in-vitro fertilization, uterine embryo lavage, embryo transfer, artificial insemination, gamete ...
How to pay for IVF if insurance doesn't cover it?
IVF Grants & No-Interest Loans: There are a multitude of charitable grants and scholarships out there, as well as no-interest loans. Including: Worth The Wait Charity – Fertility & Adoption Grants for Cancer Survivors. Fertility IQ – Gives grants at random a few times a year simply for reviewing your doctor or clinic.
BlueCross BlueShield investigating billing practices of former fertility clinic
How much does IVF cost with Blue Cross Blue Shield?
Specifically, Blue Cross Blue Shield and GEHA will each have a plan option available in 2025 that will include $25,000 to cover the costs of IVF. Blue Cross Blue Shield began offering the $25,000 IVF benefit for the 2024 plan year, while GEHA's will be new for plan year 2025.
What happens if you can't afford IVF?
International Council on Infertility Information Dissemination provides an IVF scholarship to help those who cannot afford IVF treatments. The IVF procedure is donated by reproductive specialists. In many cases, you will have to travel for treatment.
How many cycles of IVF does Blue Cross Blue Shield cover?
Members diagnosed with infertility can receive up to three (3) annual drug cycles for in vitro fertilization (IVF). You must receive prior approval and buy your prescriptions through our pharmacy programs.
Which state has the cheapest IVF?
Low-cost IVF in Arizona
Arizona has 2 fertility centers with the lowest in the country pricing for IVF: New Direction Fertility and Southwest Fertility Center. Their pricing is around $6,500 and $6,700 per cycle. The pricing doesn't include anesthesia, that is usually $500-600.
Why is IVF so expensive?
There's medication, an egg retrieval procedure done while the patient is under anesthesia, ultrasounds and lab work. And that doesn't begin to cover paying embryologists and the lab costs associated with monitoring, growing and preserving embryos, she adds.
How do I financially plan for IVF?
- Determine the cost of treatment.
- Review your insurance.
- Evaluate your financial situation and how much you can realistically pay each month.
- Look for ways to reduce costs.
- Create a repayment plan.
Does Starbucks cover IVF?
Yes they do! You get a 25k lifetime max for procedure costs and a separate 10k amount for medications. I was able to do two egg retrievals and three embryo transfers with the benefit before my medication allotment ran out, I'm actually still working on the 25k, but I know it's close to being used up.
What is the best insurance for infertility?
- UnitedHealthcare: Best Coverage.
- Cigna: Best for High-End Treatments.
- Aetna: Best Additional Resources.
- Blue Cross Blue Shield: Best for Multiple Rounds of Treatment.
- Progyny: Best for Assisted Reproductive Technologies.
What states are free for IVF?
Massachusetts and Arkansas have mandated IVF coverage but not fertility preservation coverage, which would include freezing eggs, sperm, and embryos. California and Texas are mandate-to-offer states, meaning health insurance plans must have an infertility insurance option but are not required to provide it in any or ...
What is the new IVF bill in 2024?
New Law (SB 729)
The new law requires large group policies to provide coverage for the diagnosis and treatment of infertility, including coverage for a maximum of three completed oocyte (egg) retrievals with unlimited embryo transfers.
What makes IVF medically necessary?
For example, if a semen analysis reveals poor sperm motility or the fallopian tubes are blocked, the sperm will not be able to fertilize the egg, and intrauterine insemination (IUI) or in-vitro fertilization (IVF) may be necessary.
How do most people afford IVF?
If you have health Insurance, your plan may cover IVF. But coverage for IVF varies significantly from plan to plan, and not everyone is eligible for this type of coverage. Certain health plans may require that a person has an infertility diagnosis to qualify for coverage, for example.
How many rounds of IVF does it take to get pregnant?
On average, research has shown that about 65.3% of patients, or two-thirds, have a successful outcome after six or more IVF cycles. This is especially applicable to IVF patients under the age of 40. There are specific factors that impact the success of an IVF procedure.
Is IVF worth it at 42?
“We are always very realistic with patients about their chances of successful pregnancy. Although IVF success rates for women aged 38 to 43 with their own eggs are still good – with a 20 to 25 percent chance of a pregnancy – this is half that expected of a woman under 35.
How do I know if my insurance covers IVF?
If you are unsure about your coverage, it is best to contact your insurance provider directly. They can provide you with specific information about your plan and answer any questions you may have.
What not to do before IVF?
Lifestyle choices that should be avoided before starting IVF treatment include cigarette smoking, alcohol consumption, illicit drugs, and intensive exercise.
Does Blue Cross Blue Shield cover surrogacy?
Does Blue Cross Blue Shield Cover Surrogacy? The BCBS surrogacy coverage depends on the specific plan you have, as there are a network of insurance providers through BCBS. Each of these independent companies may offer different plans with varying coverage options.
How do you get free IVF?
- not having any children already, from both your current and any previous relationships.
- being a healthy weight.
- not smoking.
- falling into a certain age range (for example, some ICBs only fund treatment for women under 35)
How to reduce IVF cost?
- Five Actions to Help You Afford Fertility Treatment. ...
- 1) Go to the Experts. ...
- 2) Really Investigate Your Health Insurance Coverage. ...
- 3) Consider Using an Online Pharmacy. ...
- 4) Be a Smart Shopper. ...
- 5) Only Pay for the Treatment You Need.
How to qualify for an IVF grant?
The Cade Foundation - IVF Grant
Eligibility: In order to be eligible, applicants must have documented infertility, be legal, permanent residents of the United States, and submit the grant application with the $50 processing fee.