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Comprehensive Guide to Fertility Treatment Coverage under New Jersey's Family Building Act

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IVF Insurance Coverage Under the Family Building Act in New Jersey

Effective in New Jersey State as of insert date, insurance policies that cover more than 50 participants and offer pregnancy-related benefits must include coverage for infertility diagnosis and treatment. The act defines infertility as either:

  1. Inability to get pregnant after one year of unprotected sex for women under age 35, or six months otherwise.

  2. Unable to carry a pregnancy to term, regardless of age.

Employers must provide insurance plans that are fully-funded with their headquarters located within New Jersey.

Covered Services

Insurance Coverage for IVF

To be covered under insurance:

  1. Exhaust all less expensive, reasonable, and medically appropriate treatments.

  2. Not yet reached the maximum number of egg retrievals allowed.

  3. The procedures must take place in facilities approved by either the American Society for Reproductive Medicine or the American College of Obstetricians and Gynecologists.

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Fertility Treatments in New Jersey Insurance Coverage IVF and Infertility Diagnosis Benefits NJ Family Building Act Insurance Guidelines Affordable Reproductive Medicine Options IVF Eligibility Criteria Under Insurance Comprehensive Guide to Healthcare Financing