6 Best Insights on Health Insurance for Surrogacy - OVS Care
- Emily

- Dec 9, 2025
- 3 min read
Starting the journey to parenthood through surrogacy involves many steps, and one of the most crucial is understanding health insurance for surrogacy. IVF and surrogacy can be costly, and health insurance policies vary widely across the United States. Knowing which states offer surrogate-friendly insurance options can help intended parents plan financially and avoid unexpected expenses. Hiring a Surrogacy Agency such as OVS Care, help check health insurance for surrogacy policies and understand enrollment periods..

What Makes Insurance Surrogate Friendly?
Surrogate-friendly insurance means the policy covers medical procedures related to in vitro fertilization (IVF) and pregnancy for a surrogate mother. This coverage can include:
IVF treatments
Prenatal care
Labor and delivery
Postpartum care
Not all insurance plans cover these services, and many exclude surrogacy-related treatments. Some policies may cover IVF but not surrogacy, or they might exclude pregnancy complications related to surrogacy. Understanding these nuances is essential before starting the process.
States with Strong IVF and Surrogacy Insurance Support
Health insurance for surrogacy laws and mandates differ by state, affecting coverage for IVF and surrogacy. Here are some states known for more supportive insurance options:
California
California is one of the most surrogacy-friendly states. It requires insurance companies to cover infertility treatments, including IVF, for many plans. While coverage for surrogacy itself is not guaranteed, many intended parents find policies that cover the surrogate’s pregnancy care and delivery.
Illinois
Illinois mandates coverage for infertility diagnosis and treatment, including IVF, under certain insurance plans. The state also has clear legal frameworks supporting surrogacy agreements, making it easier to find insurance that supports the process.
New York
New York recently expanded its insurance mandates to include IVF coverage for many plans. While surrogacy coverage is less common, the state’s growing acceptance of surrogacy agreements encourages insurers to offer more comprehensive options.
New Jersey
New Jersey requires many insurance plans to cover infertility treatments, including IVF. Surrogacy coverage varies, but the state’s legal environment supports surrogacy contracts, which helps intended parents navigate insurance options.
States with Limited or No Surrogacy Insurance Coverage
Some states have limited mandates or no specific laws supporting IVF or surrogacy insurance coverage. Intended parents in these states may face higher out-of-pocket costs.
Texas: No mandate for IVF coverage; surrogacy laws exist but insurance coverage is rare.
Florida: IVF coverage is not required; surrogacy is legal but insurance support is limited.
Georgia: No infertility coverage mandate; surrogacy laws are in place but insurance is often excluded.
Tips for Navigating Insurance for IVF and Surrogacy
Finding the right insurance plan requires research and sometimes negotiation. Here are practical tips:
Review your current insurance policy carefully. Look for infertility and maternity coverage details.
Consult with a fertility clinic or surrogacy agency. They often have experience with insurance providers and can recommend plans.
Consider supplemental insurance. Some companies offer add-ons specifically for fertility treatments and surrogacy.
Work with an insurance specialist. They can help interpret policy language and identify coverage gaps.
Understand the surrogate’s insurance. Sometimes the surrogate’s own insurance covers pregnancy care, but it’s important to confirm exclusions related to surrogacy.

Legal Considerations Affecting Insurance Coverage
Insurance coverage often depends on state laws regulating surrogacy contracts and parental rights. States with clear legal frameworks tend to have more insurance options because insurers feel more confident covering surrogacy-related care.
Pre-birth orders: Some states allow intended parents to be recognized legally before birth, which can affect insurance claims.
Surrogacy contract enforceability: Clear contracts reduce legal risks, encouraging insurers to provide coverage.
Insurance exclusions: Some policies exclude surrogacy explicitly, so legal clarity helps challenge denials.
Planning Ahead for Financial Security
IVF and surrogacy can cost tens of thousands of dollars. Insurance can reduce this burden but rarely covers everything. Intended parents should:
Budget for uncovered expenses like medications, legal fees, and agency costs.
Explore grants and financial assistance programs for fertility treatments.
Keep detailed records of all medical and legal expenses for insurance claims and tax purposes.
Final Thoughts on IVF Surrogate Friendly Insurance
Insurance coverage for IVF and surrogacy varies widely across the USA. States like California, Illinois, and New York offer more supportive environments, but even there, coverage is not guaranteed. Intended parents must research state laws, insurance policies, and work closely with professionals to secure the best possible coverage.
Understanding your options early can save time, reduce stress, and help you focus on building your family. Start by reviewing your insurance plan and consulting with fertility and legal experts who specialize in surrogacy. This preparation ensures you are ready for the journey ahead with confidence.
At OVS Care, we support you every step of the way, Insurance coverage expense and overall medical expenses are checked, options are given, and shared with transparency.
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