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Denial of Coverage in Fertility Care

Opinion
Video

Expert, Janet Choi, M.D., advocates expanding financial coverage for inclusive fertility services to LGBTQ+ individuals and prospective single parents by choice seeking assistance to start families, countering disparities by making evidence-based treatments more accessible.

This is a video synopsis/summary of a Population Health Perspectives® involving Janet Choi, M.D.

The video spotlights groups needing extra financial protection for family-building beyond average patients, including LGBTQ+ and single-parent-by-choice communities. They struggle to meet traditional exclusion criteria focused on demonstrating age-limited inability to conceive through heterosexual intercourse. Additionally, many require expensive donor or gestational carrier assistance unavailable to same-sex couples or those who are posthysterectomy. Accordingly, equitable support should account for such barriers amid expanded infertility framing. Whereas old definitions centered narrowly on heterosexual failure to achieve pregnancy without medical help, the American Society for Reproductive Medicine recently broadened criteria to include anyone unable to independently conceive. This embraces single parents utilizing donor gametes (sperm), same-sex male couples requiring surrogacy, reciprocal in vitro fertilization for same-sex female partners — in other words, equal access to realize parenthood dreams through medically-assisted reproduction regardless of partnership status or gender identity.

Video synopsis is AI-generated and reviewed by Managed Healthcare Executive® editorial staff.

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