Virginia Fertility Insurance Coverage
No state mandateOverview of state insurance mandates and fertility coverage requirements for Virginia. Applies to fully-insured health plans regulated by the state.
Coverage Summary
| Benefit | Required by State |
|---|---|
| Mandate to offer fertility coverage | No |
| Diagnosis coverage | No |
| Treatment coverage | No |
| IVF included | No |
| Fertility preservation included | No |
Coverage Details
Virginia: private insurance context - Not Covered. Medicaid context - Not Covered. 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
Virginia 2026 HB328 directs selection of a 2028 essential health benefits benchmark plan that includes infertility diagnosis and treatment, iatrogenic infertility coverage, and up to three completed oocyte retrievals with unlimited embryo transfers if approved through the benchmark process.
Source & Dates
- Source:
- State Government
- 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.
Browse Fertility Clinics in Virginia
21 clinics listed in Virginia.
Browse fertility clinics in Virginia→