My WAG is if there’s only plan offering it then everyone who wants to do IVF picks that plan and it becomes expensive to offer.

MD ACA plans are required to cover IVF so apparently some feds living in MD will buy an unsubsidized plan just to get IVF coverage.

Anonymous wrote:IVF coverage expanded during the Obama administration and then was eliminated almost entirely during the previous administration (as in, I don't even think they even cover IVF meds, which they did when we did IVF during the Bush admin). Just part of the overall hostility toward federal workers, I guess.

Lol this isn’t true at all. I was a fed in both admins and it was dropped during the Obama admin.

IVF coverage expanded during the Obama administration and then was eliminated almost entirely during the previous administration (as in, I don't even think they even cover IVF meds, which they did when we did IVF during the Bush admin). Just part of the overall hostility toward federal workers, I guess.

Anonymous wrote:Terrible. I feel both lucky and angry. What's the rationale for dropping coverage for those that used to provide it?

Probably that it's an incredibly expensive elective procedure

Only a couple plans even have limited coverage for IUIs.

Aetna has a negotiated rate with Shady Grove. If she’s just starting out, maybe she can inquire there first.

Terrible. I feel both lucky and angry. What's the rationale for dropping coverage for those that used to provide it?

No federal plans have had IVF coverage for years now.

I am a fed and have an Aetna open access plan. I did IVF 8 years ago and it was covered at 50%. (Of course not meds, not frozen transfers, but a chunk of the bill for 2 fresh cycles. Back then genetic testing of the embryos was less common and we didn't do it.)

But, my work friend, with the same plan, has been told that no federal plans cover IVF. Is this a change and now true? I so want to help her and can't (but can) believe plans would have regressed so much in just a few years.