California is one of the 17 states that has a mandated law on infertility insurance coverage. In California, group insurance plans must offer coverage for infertility treatments except for IVF.
Employers can choose to add IVF coverage as part of their health insurance benefits and can decide if they want to offer comprehensive coverage to include coverage for diagnostic testing , medication, surgery, or Gamete Intrafallopian Transfer (GIFT).
To find out how to get IVF insurance coverage in California, reach out to your employer for your group plan details, then talk to your doctor about your specific infertility case. You should also reach out to your insurance company to find out more about their infertility insurance coverage as it applies to you.
Since IVF isn’t covered in many plans, couples often have to pay for IVF on their own, out-of-pocket. If the patient is between 21 and 44 years of age, diagnostic tests and any surgery related to infertility are covered.
IVF cost per cycle in California
The average cost of IVF in California is $12K for a standard IVF cycle without medication. The IVF cost breakdown in California depends on where you go to receive treatment.
The cost of IVF medication ranges from as low as $50 all the way up to as much as $4,000. The cost depends on which medications are prescribed and how often you need to take them.
Donor egg services cost around $16,000 if the donor is known. If the donor is anonymous, services start around $26,000, which includes screening and donor payment.
The average cost of PGS and PGD testing is around $3,500. It does vary by clinic, as some clinics package the screening tests as part of their total IVF cost. Be sure to ask your clinic about additional fees associated with PGS and PGD testing California.
The high cost of IVF can feel intimidating for couples who are seeking treatment for infertility.
If you do not have health insurance or your insurance plan doesn’t cover IVF, you still have some options to pay for IVF. Many fertility clinics offer financing for IVF, and some banks offer personal loan options for IVF treatments.
Talk to your clinic’s office or business manager to find out what financing options they offer. You can also reach out to your bank to find out what kind of personal loans you qualify for to use towards IVF treatment.
The cost of IVF can seem overwhelming at first. The cost of a single cycle can vary depending on your specific fertility issue, and whether or not you need a variety of medications during your IVF cycles.
Cost can also vary by number of cycles as many clinics offer discounts after your first IVF cycle. Not every fertility clinic charges the same amount for treatment, so you should get a quote from your clinic before you begin treatment.
If the quote seems high, you should feel comfortable reaching out to other clinics to find out what their costs are. Be sure to find out what the quote includes. You’ll want to know ahead of time if there will be additional costs for medications, ongoing blood work, or storage for frozen embryos.