Which insurance covers infertility?

Asked by: Armando Sauer I  |  Last update: October 18, 2025
Score: 4.3/5 (54 votes)

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.

Which health insurance is best for fertility?

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.

Are fertility issues covered by insurance?

Under the California infertility health insurance laws, insurance companies must offer infertility insurance coverage for diagnosis and treatment of infertility. California does not require insurance companies to provide health insurance coverage, but they must offer the option for infertility benefits.

How to find out if your insurance covers fertility treatments?

You need to call and ask for an explanation of benefits. If the insurance customer services won't help you can reach out to your company HR. The only thing that will ``ensure'' your insurance covers it is to make sure fertility is a covered service in the explanation of benefits.

How to get pregnant if you 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.

Insurance Coverage for Fertility Care

24 related questions found

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.

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.

What states require insurance to cover infertility?

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.

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, ...

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.

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.

Is PCOS covered by insurance?

No insurance coverage: While some insurance policies do not cover fertility treatment, most health insurance policies will at least cover diagnosis and treatment of underlying conditions that may cause infertility, such as polycystic ovary syndrome (PCOS), endometriosis, fibroids, and certain conditions for men, such ...

Why isn't infertility 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.

What insurance should I get if I'm pregnant?

Health coverage if you're pregnant, plan to get pregnant, or recently gave birth. All Marketplace and Medicaid plans cover pregnancy and childbirth. This is true even if your pregnancy begins before your coverage starts.

Can you add infertility to insurance?

California's Knox-Keene Health Care Service Plan Act of 1975 does not require health insurance policies to cover infertility treatment. Instead, it requires that insurers offer employers the option to add general infertility treatment to their policies.

What is the difference between IVF and IUI?

IUI and IVF are two types of artificial fertility treatments to help you get pregnant when nature isn't doing the trick on its own. During IUI, sperm is injected directly into your uterus. IVF is a multi-step reproductive technology that involves egg stimulation, retrieval, lab fertilization and transfer.

What can you try before IVF?

Non-IVF Therapies
  • Medications to induce ovulation. Many medications are used to treat infertility. ...
  • Clomiphene citrate (Clomid®) ...
  • Aromatase Inhibitors: Letrozole (Femara®) ...
  • Metformin. ...
  • Gonadotropins. ...
  • Intrauterine insemination (IUI)

Does IVF qualify for short-term disability?

Infertility and related conditions are considered disabilities under federal (ADA) and California state law (FEHA), offering protection against workplace discrimination. Employees are entitled to reasonable accommodations, including time off for IVF and other fertility treatments, under the ADA, FEHA, FMLA, and CFRA.

Which health insurance covers IVF?

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.

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 to pay for fertility treatments?

How can you make IVF more affordable?
  1. Check your health insurance coverage. ...
  2. Look into your state's laws. ...
  3. Apply for IVF grants. ...
  4. Budget and save money. ...
  5. Shop around. ...
  6. Ask about package deals. ...
  7. Check for potential refunds and shared-risk programs. ...
  8. Deduct IVF costs from your taxes.

What 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.

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.

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.