A Comprehensive Guide for Intended Parents

The journey towards surrogacy is filled with both excitement and trepidation. One of the critical aspects of this process that is often overlooked but is crucial to understand is the insurance implications of surrogacy. With over 18 years of experience advising couples and individuals exploring surrogacy and egg donation, the #1 question on people’s minds when they contact Family Creations is, “Is surrogacy covered by insurance?” This blog article addresses the basics of surrogacy and insurance and should answer many of your questions. Don’t hesitate to contact us when you’re ready to begin the next steps in creating a family.  

A couple shaking hands with a surrogacy insurance agent.

What is Surrogacy?

Surrogacy is a medical process where a woman carries a pregnancy for the intended parent(s) who cannot have a child of their own. Family Creations specializes in gestational surrogacy and matching surrogates to intended parents and individuals. In gestational surrogacy, an embryo created through in vitro fertilization (IVF) is implanted into the surrogate mother. This process means the surrogate is not biologically related to the child. 

Surrogacy, Insurance, and Additional Costs

The journey to parenthood through surrogacy can be expensive. Costs include agency fees, legal fees, surrogate compensation, and medical expenses. Agency fees often include matching you with a suitable surrogate, coordinating the surrogacy process, and providing support throughout the journey. Legal fees include drafting and reviewing contracts, establishing parental rights, and navigating potential legal issues. Medical costs range from fertility treatments for the intended parents to prenatal care and delivery expenses for the surrogate.

Scrabble letter tiles spell the words Health Insurance.

Understanding Surrogacy and Insurance

Healthcare plays a vital role in surrogacy, and many intended parents want to know under what conditions surrogacy is covered by insurance. There are two main types of insurance to consider: health insurance for the surrogate and insurance for the intended parents.

Health Insurance and Surrogacy

Health insurance for surrogates covers all pregnancy-related medical costs, including prenatal care, delivery charges, and any healthcare needs that may arise during pregnancy or delivery. The challenge here lies in the fact that not all policies cover surrogacy pregnancies, and those that do may have some restrictions. To guide your next steps, ensure you review your policy carefully and contact your insurer (or your insurance agent). Specifically, ask if surrogacy is covered by your insurance and if there are any limitations. If your current policy does not offer clauses for surrogacy and insurance coverage, consider seeking professional advice to ensure you can obtain appropriate coverage.

A child and father hold a newborn baby.

Insurance for Intended Parents

Health insurance plans typically vary greatly in their coverage policies regarding assisted reproductive technologies (ART), such as gestational surrogacy. While some plans may offer partial or complete coverage for certain aspects of the process, others do not include it in their benefits package.

It is crucial for intended parents to thoroughly review their health insurance policy to determine if surrogacy is covered by insurance and if any provisions exist that might cover a portion of gestational surrogacy expenses. Intended parents should carefully examine their policy for language relating to infertility treatments or ART procedures. It’s worth noting that when it comes to surrogacy and insurance, some policies may provide financial assistance towards medical procedures but not cover other related costs like legal fees or compensation for the surrogate herself. In these instances, the intended parent(s) may need to purchase separate health insurance coverage for the surrogate if she does not have adequate coverage through her family.

In cases where health insurance does not cover these expenses comprehensively, intended parents have alternative options to consider. One possibility is seeking out an employer-sponsored group plan that includes additional fertility benefits beyond what individual policies offer. Another option involves exploring specialized fertility insurance plans specifically designed to address gaps in coverage related to ART. When researching additional coverage, explicitly ask, “Is surrogacy covered by this insurance policy?” and be sure you completely understand the policy’s language, including deductibles, exclusions, and reimbursement procedures.

Finally, intended parents should investigate whether their state mandates insurers to offer infertility treatment benefits. Some states have enacted laws ensuring varying degrees of coverage for fertility services.

Surrogacy and Insurance Roadblocks: Alternative Funding Sources

In addition to exploring health insurance options, there are other avenues intended parents can explore to help alleviate the financial burden associated with surrogacy. Understanding these alternatives can provide additional hope to parents wanting to embark on their surrogacy journey.

One potential approach is to seek out financial assistance programs specifically designed for individuals pursuing assisted reproductive technologies such as surrogacy. Some organizations, faith-based groups, and non-profit foundations offer grants to eligible applicants, providing much-needed financial support. These programs aim to make surrogacy more accessible and affordable for those facing significant economic challenges.

Another option worth considering is crowdfunding platforms, which are very popular and widespread for fundraising. Many families have successfully used these platforms to gather support from friends, family, and community members who believe in their pursuit of parenthood through surrogacy. By sharing their story and goals online, intended parents can receive donations to cover some expenses.

Family Creations: Working to Create Beautiful Families

Choosing the right surrogacy agency is vital because a good agency will guide you through the complexities of insurance and surrogacy, help you figure out if surrogacy is covered by insurance policies you currently hold or are researching, and ensure you are adequately protected. While navigating insurance may seem daunting initially, remember that this journey has a reward at the end – holding your child in your arms! To get started, contact us today. With offices throughout the United States, Family Creations can help you create the family of your dreams!

by Julia McConnell | Posted on : March 22, 2024