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Should Infertility Be Defined More Inclusively Today?

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by Attorney Edward R. Weinstein, Esq.

Infertility has traditionally been defined not conceiving after one year of trying for people who are less than 35 years old. However, when same-sex couples and single parents are embarking on fertility treatments, some experts question if the definition be expanded.

Treatments for infertility including in vitro fertilization (IVF) have been viewed by insurance providers as optional procedures which are generally not covered.

The result is that those same-sex couples and single patients face huge bills from trying to conceive.

Currently, eight states nationwide require that IVF be covered by insurance providers, according to national nonprofit Resolve, which advocates on behalf of employers and states to broaden coverage for infertility treatment. The laws of some states currently make it problematic to obtain fertility coverage for same-sex couples.

The NY Department of Financial Services, which supervises all insurance companies that do business in New York, recently released revised standards requiring insurers to give fertility treatment coverage for participants, regardless of their sexual orientation or marital status.

New York law mandates that insurers provide infertility and must also use the American Society for Reproductive Medicine’s definition to regulate when coverage begins. Infertility is defined by the Society as not having a successful pregnancy after a year or more of timed, appropriate, unprotected sex or insemination via donor.

This definition will not make obtaining treatment easy for same-sex partners, where coverage could hinge on how policies of insurance are deciphered. If the policy’s coverage hews to the medical definition of infertility, same-sex couples might be omitted because of biological makeup.

But, an argument could be made that a same-sex couple, could qualify.

Some query if the definition of infertility should instead be “disability,” which could allow singles and same-sex partners coverage.

Attorney Ed Weinstein observed, “Most of these statutes were enacted prior to the possibility of same-sex marriage. The state legislatures have not kept pace with what has happened in the country recently and needs to catch up.”

  • Ruby

    I have done quite a lot of research and but have so many concerns about entering into an international reproductive medicine arrangement… it feels awfully extreme. Before visiting Ukraine We tried clinics in different countries but unfortunately there were no positive result. We just spend a great amount of money, time and most of all we were tired psychologically. Ukrainian clinic Biotexcom was the fifth one we have addressed. Most of all I liked stuff of this clinic. Workers are very friendly and try their best to fulfill all wishes and needs of client. As of treatment, we used IVF in there and from the second attempt I became pregnant. We liked this clinic very much. To say the truth, firstly we thought that it will be something not so good, as it is in Ukraine. And I know anything about this country. My husband and I were positively surprised with high level of service in this clinic. In particular, we were met by a welcoming manager who helped us during all treatment process. Great center! I see a lot of people, patients who have visited the center write about the building’s size and that it’s not enough space for such a great number of people.

  • Erin

    I knew about my infertility issue from my teen. I met my husband when I was near 30. We put our names on waiting list for IVF in one of the hospital in our country. The time was passing and we hadn`t any answer from clinic during 2 years. Then my husband decided to address in another clinic. And they said, that we should waited approximately 5 years. It was so long for us. We started to look clinic for money. But it turned, that IVF costs a huge amount of money. We were in desperation. That`s why we started to look clinic somewhere else. And thanks God, we found one in Ukraine with affordable price, only 30k euros. We emailed them. And we had to wait only 6 months. That’s was great. We went to Ukraine. The stuff of the clinic met us at the airport. You wouldn`t believe, but the service is great. The doctors are sensitive and skilled. The stuff made everything for our comfortable visit. And I got pregnant from first attempt. Now, we have daughter and she is almost 5 months.