Does Blue Cross Blue Shield cover infertility treatments?
Asked by: Keyshawn Crist | Last update: August 23, 2025Score: 4.6/5 (33 votes)
Which insurance covers infertility?
Major insurance providers such as Aetna, Blue Cross Blue Shield, Cigna, United Healthcare and Tricare offer a wide spectrum of fertility benefits, including IVF treatment; however, your employer has to purchase these features in order for you to be covered.
How to get free fertility treatment?
- The LIVESTRONG Fertility Discount Program. ...
- The Tinina Q. ...
- The JFCS Fertility Fund: A Gift from the Heart. ...
- The Madeleine Gordon Gift of Life Foundation. ...
- The Angels of Hope Foundation – IVF Grant. ...
- Bundle of Joy Fund. ...
- Sparkles of Life.
Does Blue Cross Blue Shield of 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 ...
Why is infertility not covered by insurance?
Infertility treatment, on the other hand, is typically not covered, regardless of whether it is iatrogenic or naturally occurring. One reason many insurance companies refuse to cover ART is that they are often viewed as elective procedures, not medically necessary ones.
See What’s New for 2023 - Blue Cross and Blue Shield Service Benefit Plan
Does BCBS cover infertility?
For FEP Blue Standard™ members diagnosed with infertility, we cover the following assisted reproductive technology (ART) procedures up to $25,000 annually, once you receive prior approval: In vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote intra-fallopian transfer (ZIFT)
How do I pay for IVF if my 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.
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.
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.
What is the deductible for BCBS 2024?
Under Standard Option, the calendar year deductible is $350 per person. After the deductible amount is satisfied for an individual, covered services are payable for that individual. Under a Self Plus One enrollment, both family members must meet the individual deductible.
What if I 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.
Which states offer free IVF?
That said, there are currently 16 states that have some form of mandated coverage. The states are; Arkansas, California, Connecticut, Delaware, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, Texas, and West Virginia.
How many IVF can you have for free?
According to NICE, women aged under 40 should be offered 3 cycles of IVF treatment on the NHS if: they've been trying to get pregnant through regular unprotected sex for 2 years.
Does Blue Cross Blue Shield Federal cover 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. The addition of a second nationwide option means federal employees looking to grow their family now have a choice in their plan, if they are seeking that more comprehensive coverage.
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.
Is IVF painful?
While most individuals who have undergone IVF do not describe it as painful, there are moments that may cause minor to moderate discomfort.
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.
What state is IVF cheapest?
Cheapest IVF in New York and Colorado
CNY Fertility in Colorado and in New York has the lowest pricing in the whole country, with one cycle of IVF being around $5,000, and that includes ICSI and anesthesia. The clinic is very busy, and the wait can be longer because of that.
Can you choose gender with IVF?
Beyond addressing fertility concerns, IVF can offer prospective parents gender selection. IVF for a boy or girl gives people the chance to select the genetic sex of their child, for personal or medical reasons.
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 do I do if my insurance doesn't cover IVF?
- Ask Your Employer for Benefits. ...
- Ask Your Insurer for Coverage. ...
- You can remind the insurer that IVF benefits provide access to affordable health care, which enables patients to make treatment decisions based on medical recommendations, rather than financial concerns. ...
- Purchase Non-Group Insurance.
Does Blue Cross Blue Shield cover egg freezing?
Unless you have medical reasons for going through fertility preservation (ex. receiving chemotherapy that can affect your future fertility), egg freezing is rarely covered by medical insurance (e.g. blue cross blue shield, aetna, cigna, tricare, medicaid, united healthcare).
How do people afford IVF?
Fertility clinics may offer flexible payment plans to make IVF possible. But read the fine print and ask about interest rates and other fees. Consider participating in a clinical trial. There are research studies that test new fertility treatments, and these studies may pay for your IVF if you enroll.
Which states require IVF coverage?
States with comprehensive IVF and infertility insurance coverage. Only 11 states require both IVF and fertility preservation coverage: Colorado, Connecticut, Delaware, Maryland, Maine, New Hampshire, New Jersey, New York, Rhode Island, Utah, and Washington D.C.
Can you get IVF for free?
What are the criteria for receiving IVF treatment on the NHS? According to NICE, women under 40 should be offered three rounds of NHS-funded IVF treatment if they've been trying unsuccessfully to start a family for two or more years, or if they've had 12 or more unsuccessful rounds of artificial insemination.