Aetna to roll out expanded fertility benefits nationwide

Aetna will now cover intrauterine insemination (IUI) as a benefit in eligible plans nationwide, becoming the first major insurer to expand coverage nationally.

The insurer said in an announcement that the offering will boost access to family planning options regardless of the patient's sexual orientation or partner status.

Aetna said its internal team of clinical experts review coverage regularly to best reflect current guidance and practices. Previously, IUI coverage was generally offered to people who either purchased additional fertility coverage or who could demonstrate a diagnosis of infertility.

The insurer's updated coverage policy begins Sept. 1 for many plans and will be implemented on a rolling basis for contracts in renewal. Self-funded employers can modify their benefits if they so choose.

“Expanding IUI coverage is yet another demonstration of Aetna’s commitment to women’s health across all communities, including LGBTQ+ and unpartnered people,” said Cathy Moffitt, M.D., Aetna's chief medical officer, in a press release. "This industry-leading policy change is a stake in the ground, reflecting Aetna's support of all who need to use this benefit as a preliminary step in building their family."

The company said this builds on previous steps CVS Health and its subsidiaries have taken to improve women's health and address equity challenges.

Aetna added that women from multiple different communities will benefit from access to IUI.

“We know firsthand the barriers people face in accessing needed medical care to start or grow their families,” said Chief Clinical Officer Kate Steinle for a nationwide health care provider for the LGBTQ+ community, Folx Health. “As an in-network provider focused on the LGBTQ+ community, we applaud Aetna’s efforts to reduce out-of-pocket costs, so that more people can have the families they dream of – and deserve."