New York Fertility Treatment Insurance Mandate

You’ve seen the headlines, but what does the new mandate actually mean for fertility treatment insurance coverage? The reproductive specialists at Sher Fertility Institute New York in Manhattan answer some of the most common questions regarding the new law.

  • Who will have IVF covered under the new mandate?
    • Those who are covered by employee-sponsored health insurance programs that have over 100 employees.
  • What fertility treatment is covered under the new law?
    • The IVF law requires large group insurance policies to cover three IVF cycles. This also includes medication required for IVF cycles.
  • What conditions must be met to have IVF cycles covered by insurance?
    • Patients must be diagnosed with infertility. Infertility is typically diagnosed after a couple has been trying to conceive for 12 months without getting pregnant, or 6 months if the woman is over 35 years old.
  • Is fertility preservation covered by the new mandate?
    • All health insurance policies (individual, small and large group) are required to cover fertility preservation for patients who may become infertile due to necessary medical treatments, such as surgery, radiation, or chemotherapy.
  • Which fertility preservation services are covered by insurance under the new law?
    • Collection, preservation, and storage of eggs and sperm will now be covered in New York with health insurance. If medication is required for egg freezing, the prescription will be covered by insurance as well.

With many health insurance plans covering IVF and fertility preservation, now is the time to get your appointment scheduled with our fertility doctors in Manhattan. Contact Sher Fertility Institute New York today!

Have more questions about the IVF and Fertility Preservation Law in New York? Learn more here.