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IVF Insurance Coverage in Illinois

Illinois has an IVF insurance mandate.

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Insurance rules determine whether a mandate may apply, but clinic quotes still need to be checked for medication, IUI, embryo transfer, storage and add-on fees.

Mandate type
Full mandate
Egg retrievals covered
4
In effect since
1991

Who the mandate applies to

  • Large-employer plans: Required
  • Small-employer plans: Exempt
  • Individual market: Not required
  • Self-insured employer plans (ERISA): Excluded — federal ERISA preemption applies

Statute and notes

Up to 4 completed egg retrievals; if live birth, 2 more allowed. Employers with <25 employees exempt. Religious employers may opt out. Self-insured plans excluded.

Citation: 215 ILCS 5/356m

Read the statute

Last verified 2026-04-14.

Fertility clinics in Illinois

21 reporting clinics (CDC ART 2022).

Insurance rules in other states

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