Coverage Mandate 1:
Scope of Mandate 2:
Coverage Cap 3:
Requirements or Limitations on Coverage 4:
*Delegate Helmer introduced HB 480 in the January 2022 session, which would require health insurance policies, subscription contracts, and health care plans to provide coverage for the diagnosis and treatment of infertility and for standard fertility preservation procedures, and ensure that fertility treatment is an essential health benefit in selecting a new benchmark plan.
1 Does the state have a coverage mandate, Y/N. Include effective date of the mandate. Specify if the mandate is to “offer” services or to “cover” them.
2Which insurers are required to comply with the mandate. If not applicable, put N/A.
3Is there a cap (annual/lifetime)?
4Does the law impose age restrictions on eligibility for coverage? Does it limit the number of IVF cycles covered (or require at least a certain number of services be covered)? Does it mandate a waiting period? Other limitations? How is “infertility” defined? Is it inclusive (e.g.: does it apply only to married or -opposite sex couples, or is it inclusive?)
5What, if any, exemptions apply to coverage under the mandate? For example: an exemption for small businesses or religious organizations.