New York State IVF Grant Program
The New York State Department of Health created a mandate in 2003 to provide financial subsidy grants so that more patients could access the infertility treatment they need.
To apply for the NY State grant, patients must provide proof of:
- age between 21 - 44 years
- New York state residency
- private health insurance as primary insurance (not Medicaid, Medicare, or Family Health Plus)
- combined gross household income, determined by most recent tax returns, of under $195k annually
Patients’ insurance plan cannot provide coverage for IVF, but it can cover medications, blood work, or sonograms.
Qualified patients will pay a cost share amount (their out-of-pocket expense) determined by NY state guidelines, based on total household income level, ranging from 2.5 percent of the total costs to 97.5 percent of the costs.
Services eligible for the NY state program include:
• Patient assessment (only one allowed per patient for the life of the grant)
• IVF cycles (maximum of two complete cycles per patient for the life of the grant), including
* Medications for ovulation induction
* Monitoring of ovulation induction
* All laboratory & sonography testing
* Egg retrieval
* Laboratory (in vitro) fertilization
* Intracytoplasmic sperm injection (ICSI) as required
* Embryo transfer
The NY state grant requires that some patients try intrauterine insemination (IUI) before moving to IVF. Some patients, though, will be waived through if the physician determines IVF is optimal and preferred.
Patients who have very low likelihood of pregnancy with IVF are ineligible for the NY state grant. Examples of related conditions include:
- abnormal FSH level
- history of 3 or more unsuccessful IVF cycles
- several incomplete (canceled) cycles
