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Fifteen states mandate certain fertility insurance coverage

Many couples pay out-of-pocket for infertility diagnosis and treatment. This is because many employers still do not offer infertility benefits. Pending the type of fertility treatment rendered, costs may vary from a few hundred dollars to $15,000.00 or more.

According to Resolve, the national infertility association, only 15 states have laws requiring insurance coverage for infertility treatment. These laws are known as mandates. There are two types of mandates:

  • Mandates to Offer: Mandates to offer require insurance companies to offer policies that cover infertility diagnosis and treatments. Employers must be made aware of these policies but are not required to include them in their employee benefits package.
  • Mandates to Cover: Mandates to cover require insurance companies to cover the cost of certain fertility treatments in every policy. Monthly premiums help to cover the costs of these treatments. 

 The following states with Mandates to Cover include:

Arkansas Louisiana New York
 
California Maryland Ohio
Connecticut Massachusetts Rhode Island
Hawaii  Montana Texas
Illinois New Jersey West Virginia

 

For those who live in Virginia or any other state not listed, Resolve encourages people to write to their local representative and ask them to introduce legislation to require infertility treatment coverage. 

Norfolk residents can visit the Virginia Assembly Website (http://conview.state.va.us/whosmy.nsf/main?openform) to identify and contact their representative.

To learn more about infertility benefits and for helpful tools (such as template letters to congress, employers, and insurance companies) visit:

Resolve 
Fertility LifeLines
Shared Journey
Maximizing Your Insurance Coverage for Infertility (booklet)
Paying the Price for Infertility
 

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By

Norfolk Infertility & Miscarriage Examiner

Tracy Hubbard is a communications professional and the founder of In Due Season, a nonprofit for women coping with infertility or pregnancy loss....

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