Some people ask us why there is infertility insurance for children. The simple answer is that if you buy infertility insurance early in life, then that is when it is the most affordable for the largest amount of people. Treatments are expensive and traditional health plans often do not cover all the expenses. Infertility insurance that is purchased before an infertility diagnosis is the most affordable way to secure coverage for a future family. Let’s take a step back and take a look at the issue.
What is infertility?
Infertility refers to couples who have not become pregnant after at least 1 year of having sex without using birth control methods. Infertility is common, affecting about 1 in 8 couples in the United States. According to a Harris Poll, one in three American parents worry their children may suffer from infertility in the future.
How much does infertility treatment cost?
For most couples today, infertility is an unexpected expense, but it is a highly treatable diagnosis. In 85% to 90% of cases, infertility can be addressed with medical therapies such as medication or surgery. But, infertility treatments can be very expensive. One round of In Vitro Fertilization (IVF) can cost $12,400 according to the American Society of Reproductive Medicine. However,that may not include the cost of medications, testing and egg storage. FertilityIQ estimates it can cost $23,000 per cycle, and that couples may need on average 2-3 IVF cycles for a successful outcome. One study estimates that the cost of a child born using IVF can cost $56,775.*
Why purchase insurance?
Insurance is a way to cover unknown and unexpected costs. By paying a premium, you are exchanging that premium for the peace of mind that comes if you should ever need the insurance. The cost of premium is affordable compared to the potential future cost of an incident (or in this case a health diagnosis for primary infertility) without the insurance. With this concept in mind, the idea of creating an insurance policy for infertility was born. The hope being that insurance could provide a way to offer people a chance at covering the cost of infertility at an affordable rate.
Will my health insurance cover infertility treatments?
If you are lucky, your traditional health insurance plan will cover an infertility diagnosis and some treatments. However, according to Mercer’s 2017 National Survey of Employer-Sponsored Health Plans, only 26% of companies with 500 employees or more offer some type of infertility coverage. For small businesses or those who self-fund, adding an infertility coverage rider is often too expensive.
Why offer infertility policies for children instead of adults?
It may seem counterintuitive to offer infertility insurance for children, but it is less expensive to cover a condition that isn’t pre-existing. Having a deferred benefit allows time for the premiums to grow in value, and it allows us to pool risk so that coverage is both affordable and comprehensive for more people. A health insurance policy covering infertility for today’s adults, by comparison, would be much more expensive because the number of people who would apply would be much smaller and the time for the premiums to grow is too short to cover the costs. This is why many traditional health plans do not cover all the costs associated with infertility. “The fact is, public and private health plans offered by federal and state governments and private employers may never have the resources to pay $3 billion a year to cover costs associated with fertility treatments,” says LifeSpring CEO Jason Muesse. “By helping families planning ahead, we can change the way infertility treatments are insured and make them affordable.”
How can LifeSpring help future families?
For LifeSpring, our goal was to provide a solution and make infertility treatment affordable. We want the next generation of children to grow the families they desire without having to make the difficult decisions this generation is experiencing. “Our Primary Infertility Assistance Policy is the product that can change the way infertility is addressed in our country,” says Muesse, “because families won’t have to decline treatments because of finances.” Now available for Texas children, the policy can be purchased online by a parent, family member or friend, to provide 18 years worth of benefits at ages 18-35 to cover a child ages 0-13 and their future partner in the event they ever experience infertility. Learn more about the product, see the frequently asked questions, and apply for your custom quote today.
*Note: This number was obtained by taking total medical costs of $385,959,160 and dividing it by the total number of live births, 6,798 as shown in the study’s Figure 3.
Part of being a parent is wanting to provide your children with the best possible future they can have. Most parents consider college, cars, and weddings the extent of the financial barriers their children may face in the future. And you might even have considered the health and physical well-being of your child. But have you ever considered the idea that your children might have infertility?
The issue of infertility is steadily growing in awareness. If you are familiar with the struggle of infertility either through personal experience or through watching a family member or friend navigate through infertility, then you understand the depth and impact of infertility.
Common Infertility Myths
Unfortunately, the subject of infertility is also encased in plenty of misconceptions. One false assumption is that if you struggled with infertility, your children will struggle as well. This is not entirely true. While your child may be more inclined to be diagnosed with infertility, each case of infertility is unique to each couple.
Let’s take a look at some of the myths about infertility, your child’s odds of having infertility, and what solutions are available.
Infertility is more common than you think. With infertility affecting 1 in 8 couples, infertility is a common diagnosis impacting 12% of Americans.
Myth 3: Infertility is genetic or is a hereditary trait.
There are several genetic traits that can be linked to infertility. There is, however, a general misconception that infertility is primarily a genetic trait. There are some genetic factors that can play into a child’s odds of having infertility, such as PCOS. The following are some of the common causes of infertility according to the Mayo Clinic:
Common Causes of infertility for Women
Ovulation disorders, PCOS (polycystic ovary syndrome), Hyperprolactinemia, thyroid disorders, etc.
Uterine or cervical abnormalities
Fallopian tube damage or blockage
Primary ovarian insufficiency (early menopause)
Cancer and its treatment
Common Causes of infertility for Men
Abnormal sperm production or function
Problems with the delivery of sperm
Overexposure to certain environmental factors such as pesticides and other chemicals and radiation
Damage related to cancer and its treatment
Outside of these common indicators of infertility, there are also other factors that can heighten a person’s risk of being infertile. Some of these risk factors include, age, tobacco use, alcohol use, being underweight or overweight, and lifestyle issues. There are many unknowns about infertility today. Hopefully as time goes on, physicians will be able to determine more causes and refine treatments for infertility.
What does this mean for my child?
You simply will not know if your children have infertility until they are older. Regardless of existing conditions, you don’t know if your child or their future partner will be among the 12% of couples who suffer from infertility.
What can I do right now to help my child?
If your child is under the age of 13, you might consider infertility insurance as a solution to plan for your child’s future family. LifeSpring offers an innovative supplementary health insurance policy for Texas children ages 0-13. This Primary Infertility Assistance Policy covers them and their future partner when they are older and ready to have a family. Give us a call at (844) 443-4979 or send us a text – we are here to answer any of your questions about insurance planning.
A couple experiences infertility when they have not become pregnant after at least one year of having sex without using birth control methods. Couples who meet with a doctor regarding their infertility issues will discuss lifestyle issues and also determine what medical tests and counseling are needed as part of their infertility treatment. Up to 30% of couples may not find a reason for their infertility.
Traditional health insurance coverage
Many health insurance plans and policies will cover some aspects of infertility diagnosis, but the tests and treatment coverage a couple can receive will vary from one insurance policy to another. This is the case regardless of whether a couple has insurance through their employer or purchased independently through a broker, the Healthcare Marketplace or through a public option.
It is smart to check your plan for the coverage that you have. Many cover a diagnosis, but treatment for infertility is sometimes considered “voluntary” by some traditional health insurance plans. According to RESOLVE, 17 states mandate or require that insurance offer coverage of infertility treatment, such as IVF and IUI. In most cases, these mandates are far from complete or comprehensive.
Infertility as a medical diagnosis
The American Society of Reproductive medicine declared “infertility is a disease of the reproductive system that impairs the body’s ability to perform the basis function of reproduction” in 1993. But the American Medical Association did not agree with this until much later in 2017 said David Adamson, M.D. This explains why even though infertility is a medical diagnosis, traditional health insurance still considers expensive treatments elective or unnecessary.
Even the Affordable Care Act which was designed to increase access to healthcare for more Americans does not consider infertility treatment as an Essential Health Benefit.
Types of infertility treatment
A couple exploring treatment for infertility could undergo hormone testing, imaging, genetic testing, ovulation testing, or other initial tests, in order to determine their cause for infertility. According to the American Society for Reproductive Medicine, a standard workup includes a semen analysis, ovulation assessment, a hysterosalpingogram, and possibly, tests for ovarian reserve and laparoscopy. Once a doctor has enough information needed, then he or she will put a treatment plan in place for the couple. Their treatment plan could include IUI to start and then add IVF later.
What is IUI?
IUI (intrauterine insemination, formerly called artificial insemination) and IVF (in vitro fertilization) are two commonly prescribed treatments for infertility. Intrauterine insemination (IUI) describes the technique of placing sperm into a woman’s uterus when she is ovulating.
This procedure is used for couples with unexplained infertility, minimal male factor infertility, and women with cervical mucus issues.
IUI is a more cost-effective solution and is often done in conjunction with ovulation-stimulating drugs; it is typically prescribed before a doctor proceeds with IVF treatments.
What is IVF?
In Vitro Fertilization (IVF) is a type of assisted reproductive technology (ART) and it was introduced in the U.S. in 1981. It describes a technique where a woman’s eggs and man’s sperm are combined in a laboratory in order to create an embryo(s). Depending on the diagnosis and age of the woman, an embryo or embryos are transferred to the woman’s uterus through her cervix to enhance the chances of pregnancy.
One round of In Vitro Fertilization (IVF) can cost $12,400 according to the American Society of Reproductive Medicine. However, if the cost of medications, egg storage and genetic testing are included, the true cost can be much higher. FertilityIQ estimates it can cost $23,000 per cycle, and that couples pursuing IVF may need on average 2-3 cycles for a successful outcome.
LifeSpring’s infertility insurance policy is a supplemental health insurance policy purchased for Texas children ages 0-13 that provides the beneficiary couple up to $50,000 of coverage following a diagnosis of primary infertility when they are older. It was designed to give the next generation of couples affected by infertility the hope and financial resources they need.
The primary infertility assistance policy covers primary infertility treatments for the beneficiary couple, including medication, testing, doctor visits, IUI, IVF, anesthesia, egg/sperm/embryo storage and other related treatments with no deductibles or co-insurance. The one-time purchase does not need to be renewed.
If you’re looking for the best infertility insurance for your future family, we invite you to learn more about LifeSpring’s infertility insurance policy, see our frequently asked questions, and apply online from the privacy of your home or smart phone. In about the time it takes to order a coffee drink from your favorite coffee bar, you can receive a custom quote after answering a few short questions.
Celebrating mothers and motherhood this month may feel a little different from other years because of the coronavirus pandemic. But, social distancing and stay at home orders are not going to stop us from finding ways to thank loved ones and add a little joy to all the mothers in our lives. Enjoy these ways to share gratitude and fun for moms everywhere on Mother’s Day.
Be a penpal
So many of us live on our phones, laptops and tablets, which is why it’s so meaningful to send a card or handwritten letter for Mother’s Day. It doesn’t really matter how old you are – a thoughtful note, drawing or poem, can be a thoughtful way to tell your mom or another mom in your life how much they mean to you. Even small children can get in on the action here by sending a note or piece of artwork to an aunt or grandparent that they will look forward to receiving in the mail. Enclose a cherished family picture, recent or from the past, that will make her smile. A service like SendOutCards.com is one where you create a personalized card online (and you can add pictures!) and then it is printed and mailed.
Does your mom or grandparent have an email address or smart phone? You can send them an email, text or funny meme letting them know you are thinking about them. If you are separated by distance, apps like Zoom, HouseParty, Skype, and Facetime (and others) can get your family together virtually. You could set a time to visit with the family, share a meal, play a game or even watch a movie together using technology like this.
Honor a legacy
Family traditions are wonderful ways to honor the memories and legacy of our mothers. If your mother is no longer alive, you could honor her memory by sharing stories and photos with family members. Maybe you are able to visit a place you shared memories together. And, further, you might consider looking at a website like Ancestry.com to learn more about where your mother and her family originated.
Families may be able to get together even if they are practicing social distancing. Traveling long distances may still take some time. There’s no doubt that when the coronavirus pandemic subsides, families will again have an even greater appreciation of sharing meals, vacations, holidays, hugs and family time together.
A gift to further your family
Meaningful gifts come in many sizes. A child might do chores without complaining. A husband might order take out so mom doesn’t have to cook! But have you ever thought about how you can continue your family’s legacy? LifeSpring Insurance Service was founded because we believe that family is everything, and we want to make it possible for future mothers (and fathers) to have their own biological child when ready to become a parent.
Right now, cost is a barrier for the 1 in 8 young couples who face an infertility diagnosis because insurance often does not cover treatment, considering it “elective.” Even though this diagnosis is highly treatable for most couples, it simply remains out of reach of many young couples because of the expense.
“We thought a lot about how to solve this through insurance and how to make it affordable for more people regardless of who their employer is and what health plan they might have,” says Jason Muesse, LifeSpring CEO. “By covering children with a supplemental health policy, they will have coverage they may need to become a mother or father when they are older and ready to have their own biological child.”
Any benevolent adult or family member may purchase LifeSpring’s Primary Infertility Assistance Policy for children ages 0-13 for a one-time premium of about $2,000. The premium can also be paid out monthly. The policy pays out up to $50,000 for the beneficiary and their future partner/spouse at age 18-35 if they need infertility treatment, like IUI or IVF, to build their family. LifeSpring’s policy, approved by the Texas Department of Insurance, is a unique gift that any grandparent, parent, friend or family member, can give to a child so they may pursue parenthood when they are older.