At Zora Health, you are our top priority. Our panel of experts will guide you through every step of the fertility treatment journey, helping you make informed decisions about your options, expected outcomes, and costs. Our US clinic offers families the same options as our other clinics around the world.
Egg freezing, also known as mature oocyte cryopreservation, is a method used to save women’s ability to get pregnant in the future.
In vitro fertilisation (IVF) is a procedure used to help with fertility, prevent genetic problems and assist with the conception of a child
Spread out the cost of treatment over 12, 24, and 36 months to avoid large upfront payments and reduce financial burden.
Do you know that a third of all Americans either have had fertility treatments or know someone who's had one? This is most probably because fertility clinics in the United States (US) include a vast array of treatments including in vitro fertilisation (IVF), egg freezing, egg donation, embryo freezing, gestational surrogacy, intracytoplasmic sperm injection (ICSI), intrauterine insemination (IUI), and gender selection.
American fertility doctors conduct advanced preimplantation genetic diagnosis and screening and blood testing for immunological diseases so that preventive treatment can be started. They also work closely with licensed and accredited sperm banks and agencies to find good candidates for gestational surrogacy.
The US enjoys a reputation for having advanced healthcare technology in both public and private facilities. A report published in the National Healthcare Quality and Disparities Report found that there was overall improvement in the quality of healthcare. However, a study by the Milbank Quarterly reported that only about half of patients receive recommended care. Although patient-care quality varies from state to state, the good news is that there are still facilities that meet professional standards.
There is no universal health insurance coverage for Americans, making healthcare very expensive. Aside from having their employers buy their health insurance or buying it themselves, pharmaceutical drugs cost twice as much in the country compared to other developed countries.
The country has a unique multicultural history, due to immigrants coming from all over the world. Religious freedom has resulted in almost all religions being practised, although 70% of Americans practise Christianity.
The US is the world leader in making movies and television shows. Select USA says that it dominates a third of the worldwide industry of media and entertainment. Besides that, Broadway is found in New York. American music is also diverse and it includes hip-hop, jazz, rhythm and blues, country and western, and rock. America is also at the forefront of sports, especially basketball, football, and baseball.
The area that attracts the most visitors is Times Square in New York, which is filled with vibrant shops, restaurants, and billboards. The Union Station is not an ordinary train station but it is also filled with shops, a movie theatre, a food court, and restaurants. Among the five Disney destinations in the US, it is Orlando, Florida's Magic Kingdom, Walt Disney World that is the most frequented.
There is widespread news about drug-induced crimes, mass shootings, and hate crimes happening in the US in recent years. Don't let that prevent you from visiting though because there is no evidence that perpetrators target tourists more. Just stay on guard for petty thefts and find out more about the climate conditions of your destinations. Avoid sellers who offer their wares from the trunk of their vehicles to avoid getting scammed. Alcohol is prohibited for people who are under 21 years old.
When travelling, take the Amtrak trains and double-decker Superliner trains if you want to see the majestic views outside. If you are on a budget, take a long-distance bus to get you from one city to another. Flying domestically is the best choice if you're hitting different regions. The country is very accommodating to people with disabilities because public modes of transportation are wheelchair-friendly. The subways are a popular mode of travel in major cities like New York, Chicago, and Los Angeles.
According to an article in Pew Research Centre, 33% of Americans have had or knew someone who's had used any form of fertility treatment. That comprises a third of Americans, which signifies positive social attitudes towards fertility treatment. However, extreme anti-abortion activists condemn IVF. Steve Aden of Americans for Life likens IVF to "eugenics" while the St Joseph County Right to Life organisation claims that discarding excess embryos created during IVF is essentially abortion and should be criminalised.
Jim Baxa of West Texans for Life considers disposing of non-viable embryos "murder" and wants Texas’s laws to prescribe that doctors only create a few embryos and implant all of them, which would greatly reduce the success and increase the risks of IVF treatment. To counter this movement, Barbara Collura, president of the national infertility association Resolve, proposed a solution. She says that a bill has to be passed by lawmakers to protect access to IVF in America.
The most commonly used language in the US is English and the other languages spoken are Spanish, Chinese (Mandarin, Cantonese, and other varieties), Tagalog, Vietnamese, French, and French Creole or Louisiana Creole French.
Fertility services in the United States offer a wide range of treatments including IVF, egg freezing, egg donation, gestational surrogacy, intracytoplasmic sperm injection (ICSI), intrauterine insemination (IUI), and gender selection. They have advanced preimplantation genetic diagnosis and screening (PGD/S) of eggs and embryos. They also test for immunological disorders and treat them accordingly. Additionally, many work with licensed and accredited, reliable sperm banks and agencies that find gestational surrogates, and fertility testing.
An article on the KFF website reports that despite this wide variety of available fertility services, it is still way outside the reach of typical Americans in terms of cost. There are very few public and private insurance companies that cover fertility services. Some states have started to require private insurance providers to cover it but the coverage is still significantly limited. As for public coverage, there is only one state Medicaid program that covers it but there is no Medicaid program that covers in-vitro fertilisation. Very few publicly funded clinics offer basic infertility services.
Private medical centres take fertility treatments seriously. They offer personalised treatment plans and patient care teams including a doctor (usually a certified specialist), patient guide, clinical coordinator, nurse, and medical assistant. IVF and andrology labs are certified by the Clinical Laboratory Improvement Amendments Board (CLIA).
The Advanced Fertility Centre of Chicago has one of the best egg donation programs in the US with a live birth rate per transfer of 75.7% for fresh donor eggs in 2017 (exceeding the 50.7% national average) and no waiting lists. In New York, Shady Grove Fertility Centre provides a "Shared Risk 100% Refund Program" for IVF or donor eggs. Qualifying patients must meet the criteria for several factors including age and the state of their ovarian, sperm, or uterine functioning.
According to a report from Reproductive Rights, the average total cost of IVF in the US is USD 19,200 per standard cycle. This does not include additional costs such as diagnostics, genetic testing, donor eggs/sperm and storage fees. In most cases, patients must prepare themselves for additional cycles because there is only a 35% chance of having a live birth rate as a result of their first IVF cycle. This applies to young women under 35 using their own oocytes, according to 2016 data from the Society for Assisted Reproductive Technology.
Generally, egg freezing costs USD 7,000 up to 20,000 plus USD 200 up to 1200 per year for storage.
According to an article published by Women's Health Policy, 17 states mandate insurance companies to cover infertility diagnosis and treatment. However, only 11 of these require coverage for IVF treatment and exemptions apply to certain employers. Insurance does not generally cover elective egg freezing. In some states, insurance must cover egg freezing for medical reasons. However, it is unclear whether this applies to transgender individuals whose gender-affirming care can lead to infertility. Surrogacy costs are also generally not covered by insurance.
The few insurance companies that cover infertility treatment require a clinical infertility diagnosis. Single people and same-sex couples may be required to undergo IUI which costs between USD 150 and 4,000 per cycle (plus additional costs) to receive this diagnosis. To qualify for coverage in Arkansas, Hawaii, and Texas, couples must use their own egg and sperm during IVF. Certain grants and financing options are only available to married couples.
In New York, group insurance providers must cover diagnostic tests. Large group insurance providers must cover up to three cycles of IVF and fertility preservation for medical reasons. If an insurance plan covers prescription drugs, it must also cover medications for fertility diagnosis and treatment. However, individual, small group and self-insured markets are exempt. The New York State Infertility Insurance Mandate prohibits discrimination based on age, sex, sexual orientation, marital status, or gender identity.
In Los Angeles, egg freezing for cancer patients is covered by insurance as of 2019. However, IVF is currently not covered by insurance. The proposed SB 729 Bill would reduce the financial burden of fertility treatment for same-sex couples as they would be eligible for treatment covered by insurance.
In Chicago, the Illinois Insurance Code expanded the definition of infertility in 2022 to include single and LGBTQ+ people ensuring that they have equal access to infertility treatment insurance coverage. Illinois-based insurance plans must cover diagnosis and treatment if they are group insurance plans providing coverage for over 25 employees but not if they are group plans with 25 or fewer employees, individual plans, or Medicaid.
There are many perks when choosing the United States for your fertility treatment. Private fertility clinics offer personalised treatment plans and often have fertility experts on board. IVF and andrology labs are certified by the Clinical Laboratory Improvement Amendments Board (CLIA). Most clinics have egg donor programs and high success rates.
To save money, many also offer financial programs that include refunds for eligible candidates. Fertility options are also widely available to the LGBTQ+ community as well as unwed parents. A bonus to having your procedures done in the US is the chance to soak up its rich culture by watching Broadway shows and visiting world-famous tourist spots such as Times Square, the Union Station, and Disney's Magic Kingdom.
Let us get to know you better to advise you on the process, costs and regulations. Or any questions that you might have!
We understand how important it is to find a doctor you are comfortable with. Our team will make appropriate specialist and clinic recommendations accordingly. We will also provide you with a list of questions to ask so that you are fully prepared and maximise your consultation.
Your specialist will review your goals, medical history and perform necessary tests. We will schedule a review and discuss your proposed fertility plan.
Our team will be supporting you throughout your journey.