Which insurance covers IVF?

Asked by: Enrique Carroll  |  Last update: March 27, 2025
Score: 4.1/5 (20 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.

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 insurance covers IVF?

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.

Does Blue Cross Blue Shield cover IVF?

IVF Drug Cycles

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 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.

Insurance Coverage for Fertility Care

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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.

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.

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.

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.

How do you qualify for IVF?

For example, IVF may be an option if you or your partner has:
  1. Fallopian tube damage or blockage. ...
  2. Ovulation disorders. ...
  3. Endometriosis. ...
  4. Uterine fibroids. ...
  5. Previous surgery to prevent pregnancy. ...
  6. Issues with sperm. ...
  7. Unexplained infertility. ...
  8. A genetic disorder.

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 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.

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 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.

Does Aetna cover IVF?

Yes. In-Network Infertility providers are responsible for treatment authorizations. If you are doing treatment with an infertility specialist, you may contact Member Services to confirm whether your provider is In-Network for your plan.

How does anyone 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.

Does Walmart offer IVF benefits?

What is the fertility benefit? Effective on November 1, 2022, Walmart launched a new Centers of Excellence (COE) program that provides services specific to fertility, including in vitro fertilization (IVF), intrauterine insemination (IUI), and egg/sperm freezing or cryopreservation.

Does Target have fertility benefits?

Does Target offer fertility benefits? Yes, 10% employee discount but you have to have a RedCard or pay in cash.

How common is it for insurance to cover IVF?

Insurance coverage for IVF treatment is still not common : NPR. Insurance coverage for IVF treatment is still not common This election, the future of health coverage for fertility treatments has been a hot political issue. A new report highlights what coverage looks like for American workers right now.

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 IVF?

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.

How can I reduce the cost of IVF?

Shared egg donation cycles often help couples using donor eggs achieve their goals of parenthood at a reduced cost. This option allows two sets of prospective parents to share donated eggs and split the following costs, saving them a significant portion of their overall expenditure.

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.

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.