Sep 24, 2021

Is IVF Covered By My Insurance? & Other Questions

Usually when someone starts considering IVF they go on a bit of a research binge (totally understandable) trying to figure out their best course of action. If you’re new to this it can be easy to feel a little overwhelmed just figuring out where to start, so we wanted to give you a list of questions to ask your insurance provider to help ease your mind.

While it may seem daunting at first, please remember that no matter how your insurance provider answers these questions nothing is a deal-breaker and there are always options out there for you. These are just helpful for understanding where to start your financial planning.

Broadly speaking, it’s good to start by simply asking if IVF is covered by your insurance to get a sense of what your options look like. From there, here are some other questions you may want answers to:

How does your insurance define infertility?

It’s good to know how they define infertility in the first place and if they have a process that you need to go through inorder for them to unlock your coverage. Do they need specific tests? Does your age impact how they define infertility? Are infertility diagnosis procedures covered (ex: office visits, blood work, ultrasounds)?

Are there any automatic disqualifiers for insurance coverage?

Unfortunately some insurance providers have qualification parameters that actually disproportionately impact people who would need IVF the most. It’s important to ask if there are any age limit cut offs or if they cover LGBTQ people?

What does your coverage actually cover and what does that process look like?

We mentioned this before, but it’s worth revisiting with a few more helpful details that might impact you. Here are some things you’ll want to get specific details on: Do you need a referral for infertility treatment? Can you use the clinic of your choice? Are infertility treatments covered (ex: intrauterine insemination, in vitro fertilization, cryopreservation)? Do you need prior authorization for certain treatments? What is your annual or lifetime maximum benefit for infertility treatment?

Are medications covered?

Medications are one of the hidden costs of IVF, and in many cases make up 40-50% of the total cost of your IVF journey. With that said, some insurance providers do cover some of the costs, so it’s important to ask a few clarifying questions like: Are fertility drugs covered or reimbursable? Are there any exclusions? Can you use the pharmacy of your choice?

Finance with Future Family

Remember, your IVF journey doesn’t have to end because your insurance doesn’t cover all, some or any of your treatment. There are some incredible financing options through Future Family that can make whatever fertility treatment you may need accessible. We offer low-interest fertility loans that make paying for your fertility treatments much easier. Not only do we help spread out the cost of your treatment to make IVF more accessible, we also consolidate all of your bills into one simple payment so you have less to keep track of during an already intense period.

In addition, when you work with Future Family you have a team of fertility specialists in your corner who have been through it countless times before and will be by your side every step of the way. Pre-qualify for a fertility loan today.

Learn how Future
Family can help you

Flexible financing plans and dedicated support for IVF and egg freezing