IVF treatments for same-sex couples to be covered by Aetna in national settlement

Aetna has agreed to a national settlement requiring them to cover fertility treatments, such as artificial insemination and in vitro fertilization (IVF), for same-sex couples, mirroring the coverage offered to heterosexual couples. This landmark agreement stems from a class action lawsuit initiated by couples like Mara Berton and June Higginbotham, who were initially denied coverage and forced to pay $45,000 out-of-pocket for treatment. The settlement will benefit an estimated 2.8 million LGBTQ+ individuals, including 91,000 in California, and includes at least $2 million in damages for eligible California members.

Previously, Aetna’s policy required heterosexual intercourse or multiple unsuccessful artificial insemination cycles before approving fertility benefits, effectively discriminating against same-sex couples and single individuals. Lawyers argued this policy denied LGBTQ+ members equal access to a potentially expensive but essential benefit. Aetna maintains it provides benefits according to plan rules and applicable law, but has committed to improving access for all members.

The American Society for Reproductive Medicine recently updated its definition of infertility to include LGBTQ+ individuals, further advocating for equitable access to care. This settlement is expected to pave the way for other insurers to adopt similar policies and expands upon a new California law mandating fertility benefits for state-regulated plans, ensuring more inclusive family-building options for all.

(Source：CBS News)