Does insurance cover IVF or IUI? Experts explain how to find out

start or raising a family is expensive! Daily expenses for family essentials add up quickly. buy a big house pay college tuitionFor families experiencing fertility problems, in vitro fertilization (IVF) or Intrauterine insemination (IUI) You can add more issues to what you already have emotionally difficult experienceAnd while fertility insurance coverage can reduce the financial impact, the details aren’t always easy to navigate. So does your insurance cover IVF or IUI? How exactly do you know? and “open registrationin progress. Now is the perfect time to find out.

“Navigating the complexities of fertility can feel like a full-time job! We spend a lot of time searching, making a myriad of decisions, and are often frustrated by the lack of support,” says Holly.Founder Shin hatched After this same experience. With a focus on patient education and advocacy, Singh knows how important it is to have the right information and ensures there are procedures in place to know where to look.

How do I know if my insurance plan covers IVF or IUI?

According to Singh, the best way to find out more about fertility insurance coverage is to contact your employer’s human resources team or insurance company directly. She adds: Ask a nurse or front desk! They are great resources who are happy to help. ”

Your human resources department or insurance company must provide a copy of your benefits package at registration or upon request. This typically includes a ‘Benefit Description’ or ‘Overview Plan Description’ outlining the details of your coverage. Singh recommends careful consideration for a better understanding.

  • Where coverage for fertility treatment (not just diagnosis) is provided
  • What is the maximum lifetime fertility rate?
  • eligibility requirements (if any) [For example, if you’re not the employee, you may need to be a spouse/partner/dependent of the covered employee. Or, you may require a diagnosis of infertility to receive treatment]
  • Services Eligible for Benefits

Also, be sure to work closely with your healthcare provider once you start any relevant IVF or IUI treatment. Monitor which diagnostic codes are being used. This is because it can affect whether treatments are covered and/or how they apply to benefits and maximums.

Am I protected by state fertility mandates?

As of June 2022, 20 states have passed fertility laws, but it varies by state, type of insurance plan, and employer location. For more information and state laws, please visit:

What if there is minimal or no IVF or IUI coverage?

“If your plan doesn’t include fertility coverage, your employer can ask your insurance company for an additional plan (also known as a “rider”). These add-on plans provide coverage for IVF or fertility treatment (and possibly medication). But as the demand for family-building benefits grows, employers are creating innovative solutions. A great example is Affirm’s SAFE Journey Wallet, family planning lifetime benefits (including surrogacy, adoption, fertility treatment and egg freezing). This benefit will be funded by Affirm and will be provided outside the insurance company,” he said.

Other paths to IVF/IUI financial solutions include:

  • Flexible Spending Account (FSA) or Health Savings Account (HSA)
  • In vitro fertilization clinical trial
  • medical tax credit
  • private birth funds

The path to IVF or IUI funding can be daunting. Remember it’s okay to ask for help. It’s normal to feel overwhelmed at times. Remember, there are resources on your journey to parenthood, but there are also mental health resources to support your well-being along the way.

Leave a Comment