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Connecticut Fertility Insurance Coverage

IVF coverage required

Overview of state insurance mandates and fertility coverage requirements for Connecticut. Applies to fully-insured health plans regulated by the state.

Coverage Summary

BenefitRequired by State
Mandate to offer fertility coverageNo
Diagnosis coverageYes
Treatment coverageYes
IVF includedYes
Fertility preservation includedYes

Coverage Details

Connecticut: private insurance context - Covered: Health insurance organizations, excluding persons on plan <12 months, self-insured and religious employers. Medicaid context - Covered: Lab tests to detect the presence of conditions affecting reproductive health; Not Covered: Infertility treatment, sterilization reversal, IVF, IUI, cryopreservation, fertility drugs. State mandates vary by market and plan type and generally do not control self-funded employer plans.

Self-Funded Employer Plans (ERISA)

Self-funded employer health plans are generally governed by ERISA and may be exempt from state insurance mandates; verify benefits with the clinic and insurer.

Pending or Future Changes

Public Act 26-33 (HB 5374, signed May 28, 2026, effective January 1, 2027) expands the infertility definition to include donor-gamete, donor-embryo, and gestational-surrogate paths, removing the one-year heterosexual-conception standard.

Source & Dates

Data as of:
2026-06-10
Next review:
2027-01-15

Disclaimer

This is not legal or insurance advice. Verify coverage directly with your insurer and HR benefits team. Self-funded employer plans (ERISA) are generally exempt from state mandates. Information reflects the reviewed source as of the date noted above and may not reflect recent legislative or regulatory changes.

Browse Fertility Clinics in Connecticut

8 clinics listed in Connecticut.

Browse fertility clinics in Connecticut

Pricing and insurance details are compiled from public sources and change frequently — confirm directly with the clinic. Full disclaimer