A win on expanded IVF coverage!
Hi everyone,
Today, the White House announced a significant expansion for IVF coverage options for federal employees in 2025. OPM won’t require all plans to cover IVF treatments, which is what DOJ GEN advocated for. However, there will be more coverage options for all federal employees, and that’s a victory.
Here’s an article from Federal News Network that covers this development, quotes DOJ GEN, and discusses our IVF advocacy campaign.
These are the details we know so far:
Blue Cross Blue Shield and the Government Employees Health Association each will offer a nationwide plan option that includes $25,000 in IVF benefits on top of the already mandated medication coverage. Only Blue Cross Blue Shield offered this in 2024.
Beyond the nationwide plans, in the following states and territories there will be one or more plans offering IVF coverage above the required levels: California, Colorado, D.C., Hawaii, Illinois, Maryland, Michigan, New Mexico, New York, Pennsylvania, Texas, Utah, Virginia, Guam, Puerto Rico, and the U.S. Virgin Islands. OPM says that several local or regional plans will offer IVF without a cycle or dollar limit.
In total, 25 FEHB plans with 45 plan options will offer IVF coverage above the mandatory minimum—an increase of 19 plan options over 2024.
Like in 2024, all FEHB plans must cover three cycles of IVF medications, along with all methods of artificial insemination and related drugs.
During this year’s upcoming Open Season, employees can choose a plan with expanded benefits if they aren’t already enrolled in one.
I should also note that on September 17, the Senate failed to pass the Right to IVF Act, which would’ve created a permanent mandate requiring all federal employee insurance carriers to cover IVF medications and treatments. The vote was 44 in favor to 51 against. DOJ GEN will continue pushing Congress to pass the bill until it does.
Thank you again to the 36 members who contributed powerful testimonials about the hardships they experienced without adequate IVF coverage, and to everyone who supported our campaign. I think today’s news once again shows that DOJ GEN’s advocacy makes a difference.
Best,
Stacey