CVS Health’s Aetna to expand access to fertility services

Aetna, a CVS Health company now offers intrauterine insemination as a medical benefit for eligible plans. Members may access this benefit as a test of fertility and, in some cases, to increase the chances of pregnancy. Aetna’s landmark policy change increases access to family-building possibilities, regardless of sexual orientation or partner status, the company said.

“As the first major insurer to update this coverage policy nationally, Aetna is proud to better represent the needs of the communities we serve,” the company said.

“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, senior vice president and Aetna chief medical officer at CVS Health. "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."

[Read more: Aetna CVS Health co-branded ACA exchange products to be offered in 17 states]

Aetna’s team of clinical experts update and assess clinical policies on an ongoing basis to ensure they reflect the latest understandings and guidelines. Across the industry, coverage of IUI services typically has applied to individuals who purchased separate infertility benefit coverage and could demonstrate an infertility diagnosis.

Aetna’s updated coverage policy begins nationwide on Sept. 1 for many plans and will be effective on a rolling basis for most plans on renewal. Aetna plan sponsors do not need to make changes, as this is a policy change for eligible medical plans. As a standard process, self-funded plan sponsors may modify their coverage of any benefit, including infertility. For more information, plan sponsors should reach out to their account managers.

“We know firsthand the barriers people face in accessing needed medical care to start or grow their families,” said chief clinical officer, Kate Steinle, of a nationwide health care provider for the LGBTQ+ community, FOLX. “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."

[Read more: CVS Health report highlights need for expanded role of retail pharmacists]