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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