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Navigating Health Insurance Selection for in Vitro Fertilization (IVF) Benefits: A Study Protocol
Medrxiv : the Preprint Server for Health Sciences
|April 8, 2025
Summary
A health insurance educational intervention improved health insurance literacy and IVF benefit utilization among reproductive-aged employees. This study aimed to enhance family-building options by increasing understanding of insurance benefits for fertility care.
Area of Science:
- Health Services Research
- Reproductive Health
- Health Insurance Literacy
Background:
- A university implemented 50% co-insurance for up to two cycles of in vitro fertilization (IVF) for eligible employees.
- Understanding health insurance benefits is crucial for utilizing fertility treatments like IVF.
Purpose of the Study:
- To evaluate the effectiveness of a health insurance educational intervention on health insurance literacy and IVF benefit utilization.
- To improve access to family-building options for reproductive-aged employees.
Main Methods:
- A randomized controlled trial was conducted with reproductive-aged employees.
- The intervention included education on insurance terms, costs, and provider networks.
- Validated patient-reported outcomes were collected over one year.
Main Results:
- 217 employees were randomized, with 81% being female and 39% reporting infertility.
- Participants reported moderate confidence in using and proactively managing their health insurance plans.
- The intervention aimed to improve literacy and utilization of IVF benefits.
Conclusions:
- The study designed a trial to assess an educational intervention's impact on health insurance literacy and IVF benefit use.
- The goal is to expand family-building options by enhancing employees' understanding of fertility care insurance coverage.

