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How much does infertility cost insurance companies?
Title:The cost of infertility evaluation and therapy: findings of a
self-insured university healthcare plan
Author: D. Stovall, et al.
Address: Richmond, VA
Source: Fertility and Sterility 72: 778-784 (November) 1999
Summary: This historical prospective analysis was designed to study the total
costs of infertility coverage, determine the proportion of healthcare costs
related to infertility, compare infertility costs to those of other diseases, and
calculate a per member per month cost of an infertility benefit. This study of
healthcare costs, as calculated from the International Classification of
Diseases, Volume 9 codes, was based on a university-based, self-insured,
fee-for-service healthcare plan. General and infertility-specific healthcare
reviewed included diagnostic tests for infertility, induction of ovulation,
artificial insemination, donor gametes, in vitro fertilization, gamete
intrafallopian transfer, zygote intrafallopian transfer, microsurgical epididymal
sperm aspiration, embryo cryopreservation, and frozen embryo transfer. Total
healthcare and infertility-specific costs of the university healthcare plan over
a 3-year period were $86,445,642 and $680,921 respectively. Infertility accounted
for 0.79% of the total university healthcare costs. The mean total and
infertility-specific per member monthly healthcare costs were $86.15 and $0.67
respectively. These findings suggest that infertility costs account for only a
small portion of total healthcare costs and can be acquired at a nominal monthly
fee.
Comment: It would seem to be a small price to pay.
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