Table 2 Comparison of insurance coverage for infertility diagnosis and treatment in ART-mandated states
From: Differences in ICSI utilization rates among states with insurance mandates for ART coverage
ART-Mandated State (n/clinic) | Enacted (and Revised) | Diagnoses | Cycle type | Lifetime maximum | Costs of diagnostic tests | Medications | ICSI | Cryopreservation | Coverage of other ART procedures |
|---|---|---|---|---|---|---|---|---|---|
Arkansas (n = 1) | 1987 2011 | 2-years of infertility OR Endometriosis Tubal factor Male factor | Autologous only | $15.000 | Not covered | Not covered | Not specified | Covered | Plan-dependent |
Connecticut (n = 6) | 1989 2005 2017 | 1-year of infertility | Not specified | 3 IUI 2 IVF cycles | Covered | Covered, plan-dependent | Not specified | Not covered | Not specified |
Hawaii (n = 6) | 1989 2003 | 5-year of infertility OR Endometriosis Tubal factor Male factor | Autologous only | 1 IVF cycle | Partially covered | Not covered | Not specified, plan-dependent | Covered, plan-dependent | Plan-dependent |
Illinois (n = 26) | 1991 1997 | 1-year of infertility | Autologous and Donor | 6 IVF cycles | Covered | Covered | Covered | Covered, plan-dependent | Plan-dependent |
Maryland (n = 7) | 1985 2000 | 2-year of infertility OR Endometriosis Tubal factor Male factor | Autologous only | $100.000 3 IVF cycles | Covered | Not covered | Not specified, plan-dependent | Not covered | Not specified |
Massachusetts (n = 8) | 1987 2010 | 1-year of infertility for < 35 years old 6-months infertility ≥35 years old | Not specified | None | Covered, plan-dependent | Covered, plan-dependent | Covered | Covered | Plan-dependent |
New Jersey (n = 19) | 2001 2017 | 1-year of infertility for < 35 years old 6-months infertility ≥35–46 years old OR Tubal factor Male factor | Autologous and Donor | 4 IVF cycles | Covered | Covered | Covered | Not covered | Not specified |
Rhode Island (n = 1) | 1989 2006 2017 | 1-year of infertility between 25 and 42 years old | Autologous only | $100.000 | Covered | Covered | Covered | Covered, plan-dependent | Not specified |