Hawaii Fertility Insurance Coverage
Partial coverage requiredOverview of state insurance mandates and fertility coverage requirements for Hawaii. Applies to fully-insured health plans regulated by the state.
Coverage Summary
| Benefit | Required by State |
|---|---|
| Mandate to offer fertility coverage | No |
| Diagnosis coverage | Yes |
| Treatment coverage | Yes |
| IVF included | Yes |
| Fertility preservation included | No |
Coverage Details
Hawaii: private insurance context - Covered: Individual and group insurers, excluding self-insured employers. Medicaid context - Covered: Infertility assessment/some diagnostics covered by HMSA, Ohana, and Kaiser Permanente plans; Not Covered: No infertility services covered by Alohacare, HMSA, Kaiser Permanente, Ohana, or UnitedHealthcare Medicaid plans; Benefits vary between Medicaid managed care plans. State mandates vary by market and plan type and generally do not control self-funded employer plans.
Self-Funded Employer Plans (ERISA)
Source & Dates
- Source:
- KFF State Health Facts
- Data as of:
- 2025-11-30
- Next review:
- 2026-08-09
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.