How do I know if my health insurance covers IVF?

Asked by: Anderson Towne  |  Last update: August 2, 2025
Score: 4.8/5 (34 votes)

There are several places to turn for help understanding your coverage: Your employer's human resources (HR) department. Your fertility clinic's finance or billing department. Your health insurance provider's customer service department.

How to know if insurance will cover 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 most health insurance cover 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 ...

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.

Does Blue Cross Blue Shield cover IVF?

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.

Health Insurance Plans with IVF Coverage | IVF Health Insurance Plans | Health Insurance For Women

35 related questions found

Does Starbucks really pay for IVF?

Some retailers, like CVS and TJX Cos., which operates stores like Marshalls and TJ Maxx, offer IVF treatment benefits to hourly employees, but only those who work full time. Starbucks is one of the few companies that offers the perk to part-time staffers.

What is the cheapest state for 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.

How do most people pay for IVF?

IVF Financing

Many fertility clinics offer financing plans that allow patients to spread out the cost of treatment over time. These plans often provide flexible payment options and potentially lower interest rates. For those seeking additional financial support, IVF loans are another option.

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 to get IVF meds cheaper?

IVF Medication Cost and How to Save
  1. Check with your health insurance provider. ...
  2. Apply for grants. ...
  3. Apply for discounts. ...
  4. Apply for a loan. ...
  5. Ask if your fertility clinic is running any clinical trials. ...
  6. Order your IVF medications ahead of time.

How do I financially plan for IVF?

Creating a budget for fertility treatment can be summarized in a few steps:
  1. Determine the cost of treatment.
  2. Review your insurance.
  3. Evaluate your financial situation and how much you can realistically pay each month.
  4. Look for ways to reduce costs.
  5. Create a repayment plan.

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.

Why do insurance companies not cover IVF?

Reasons that insurance companies give for why ART should not be covered include the following: in/fertility treatments are experimental, they do not treat an underlying disease but rather produce a desired outcome (i.e., a child), and they are an elective procedure not a medical one [8].

What is the best insurance for infertility?

Best Fertility Insurance Companies of 2023
  • 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.

Will insurance cover IVF for genetic reasons?

Additional Circumstances: Some insurance policies may cover IVF for specific medical conditions, such as genetic disorders, certain surgeries or treatments that impact fertility, or cases where the individual requires fertility preservation due to medical reasons like cancer treatment.

Is embryo freezing covered by insurance?

Is It Covered by Insurance? The fact is that insurance varies by payment as well as the provider. However, oocyte cryopreservation, which is commonly known as egg freezing, is generally not covered fully by insurance. But some parts of this procedure are covered by many insurance companies.

How much does IVF cost out of pocket?

The average cost for one cycle of in vitro fertilization (IVF) in the U.S. is $12,400. But, with medications and testing, you could pay as much as $30,000 for one IVF cycle. If you have health insurance, check to see if your plan covers some or all of the costs of IVF.

Who is not eligible for IVF?

Not everyone is a good candidate for IVF

Conditions that may interfere with IVF success include fibroid tumors, ovarian dysfunction, abnormal hormone levels, and uterine abnormalities.

How to get insurance to pay for IVF?

Here are five key ways to secure IVF coverage.
  1. Ask Your Employer for Benefits. This may seem like a bold move if your company doesn't already offer them. ...
  2. Ask Your Insurer for Coverage. ...
  3. Purchase Non-Group Insurance. ...
  4. Participate in Clinical Research Trials. ...
  5. Seek Employment from a Company That Provides Infertility Coverage.

How do you get free IVF?

The NICE guidelines also say women aged 40 to 42 should be offered 1 cycle of IVF on the NHS if all of the following criteria are met:
  1. they've been trying to get pregnant through regular unprotected sex for 2 years. ...
  2. they've never had IVF treatment before.

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.

Which states pay for IVF?

Many Northeast states, including New York, Maine, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, Delaware and Maryland, require IVF coverage via health insurance. Illinois, Arkansas, Colorado and Utah mandate insurance companies to cover the procedure, but the specific rules vary by state.

What can I do if I can't afford IVF?

Baby Quest Foundation provides financial assistance through fertility grants to those who cannot afford the high costs of procedures such as IVF, gestational surrogacy, egg and sperm donation, egg freezing, and embryo donation. Grants are awarded two times per year and vary in amount.

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.

Does United Healthcare cover IVF?

Procedures covered include (but may not be limited to) Ovulation Induction, Artificial Insemination (AI), Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), Pre-implantation Genetic Diagnosis (PGD), Testicular Sperm Aspiration (TESA), Microsurgical Epididymal Sperm Aspiration (MESA), use of donor ovum, ...