Will Blue Cross Blue Shield pay for IVF?

Asked by: Ms. Bridie Hansen Sr.  |  Last update: May 2, 2025
Score: 4.5/5 (26 votes)

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 much does Blue Cross Blue Shield pay for IVF?

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.

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.

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 ...

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.

See What’s New for 2023 - Blue Cross and Blue Shield Service Benefit Plan

45 related questions found

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.

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.

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.

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 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 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 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.

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.

How long does IVF take?

An IVF cycle typically takes around 6-8 weeks. The process includes an initial consultation, ovarian stimulation that lasts 8-14 days, egg retrieval, fertilisation, embryo transfer, and a pregnancy test. The embryo transfer and pregnancy test are typically performed 5 days after fertilisation.

Does Blue Cross Blue Shield cover vasectomy?

Note: We also provide benefits for professional services associated with tubal ligation/occlusion/blocking procedures, vasectomy, and with the fitting, insertion, implantation, or removal of the contraceptives listed above at the payment levels shown here.

Do any Blue Cross plans cover 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.

Does BCBS IL-PPO cover IVF?

(BCBSIL) medical plan receive:

Coverage toward medically-necessary egg and sperm freezing, up to the 2 IVF egg retrieval cycle lifetime maximum, including 1 year of storage.

What is the guaranteed surrogacy package?

Guaranteed Surrogacy in India with Donor Egg | Complete Package @15-16 Lakhs. The Guaranteed program is attractive for Intended Parents who have experienced years of emotional tension and uncertainty. However, they need to be aware of what the program offers and how it is when choosing a guaranteed program.

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 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 is the full charge for IVF?

85000 – Rs. 2,50,000 for one IVF Cycle. IVF treatment cost packages vary due to many factors, including your medical condition, medications, IVF treatment type, and the location of the clinic.

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 states have 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 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.