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Hawaii Fertility Insurance Coverage

IVF coverage required

Overview of state insurance mandates and fertility coverage requirements for Hawaii. 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 includedNo

Coverage Details

Hawaii: private insurance context - Covered: Individual and group insurers, excluding self-insured employers. The existing one-cycle IVF benefit (HRS §431:10A-116.5) carries spouse-sperm/marriage and five-year-infertility-history restrictions. 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)

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

SB642 died. HB 1864 CD1 passed both chambers unanimously and was transmitted to the Governor on May 7, 2026; if enacted it would add a fertility-preservation mandate for policies issued or renewed after December 31, 2026. Re-check after Hawaii's July 2026 veto deadline.

Source & Dates

Data as of:
2026-06-10
Next review:
2026-07-15

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 Hawaii

6 clinics listed in Hawaii.

Browse fertility clinics in Hawaii

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