View our list of billing frequently asked questions (FAQ – PDF will open)
Health insurance is indispensable, but it can certainly add to the complexities of the choices you make when pursuing infertility treatment. Many people believe infertility treatment is unaffordable. The truth is that many fertility treatments and services are often covered by health insurance.
The Fertility Institute of Hawaii (FIH) participates with almost all of Hawaii’s insurance plans, including:
HMSA HMOs: Hawaii IPA, Straub, Hawaii Health Partners, Castle Health Group, Oahu Physicians Group, and Pacific Health Care Group.
Some insurances that will require a referral including Kaiser HMO, Tricare Prime, and HMSA HMOs not listed above. Therefore, no referral is needed for the listed HMO groups.
If you do not see your insurance listed above, please contact our billing office (808.380.8231) to inquire about coverage. Certain tests and/or procedures will only be covered if your plan provides infertility benefits. We encourage all patients to contact member services for benefit information specific to your policy.
While most Hawaii-based insurances will cover IVF and a few will cover other infertility services, Medicare, Medicaid and Quest insurances will not cover any infertility treatment services or treatments.
Please see our IVF Costs page for more detailed information about the costs of IVF treatment
In 1987, the state of Hawaii mandated that insurances cover one cycle of IVF if patients meet certain criteria. The Hawaii law concerning infertility insurances can be found in Sections 431-lOA-116.5 and 432.1-604 of the Hawaii Revised Statutes. Like many of the infertility insurance mandates, Hawaii’s law on coverage for IVF costs includes certain stipulations. Limitations under Hawaii’s infertility insurance mandate include the following:
The legislature is currently reviewing this mandate so changes may occur in the future. The providers at FIH have and will continue to submit testimony in order to improve the benefits for our patients.
April 28, 2020
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