Does Health Insurance Cover Surrogacy in Nevada?
Surrogates have made parenthood a possibility for individuals and couples who may be unable to have biological children or adopt a child due to age or marital status. Whether a friend or family member acts as your surrogate or you arrange a surrogate through one of the nation’s 100+ agencies, this route can be very expensive. Costs vary depending on the route you choose, but on average, prospective parents pay $100,000 between advertising services, matching fees, surrogate compensation, legal fees and health care costs.


Health Care Costs
While all of these expenses can be steep, the health care costs associated with pregnancy and birth can be especially high, particularly if there are any complications. In fact, there have been instances where medical costs exceed half a million dollars.
In a traditional situation in which the woman carrying the baby is the biological mother, her health insurance covers maternity care. However, the rules get a little murky when the woman is acting as a surrogate.
Is Gestational Surrogacy Covered by Health Insurance?
Generally speaking, the intended parents are responsible for covering pregnancy-related expenses, including complications that may arise over the course of the pregnancy and delivery. The standard way to control health care costs is to purchase health insurance for the woman acting as the gestational surrogate.
While all ACA-compliant health insurance plans cover maternity care, some health insurance companies do not provide coverage when the policyholder is providing gestational surrogacy services. In this case, it fell to the intended parents to purchase health insurance coverage for the surrogate that would cover maternity care.
Some health insurance plans expressly cover gestational surrogates, but they are the exception rather than the rule. In fact, it is more common for health insurance plans to state that they do not cover expenses related to surrogacy. In this case, the intended parents are required to cover all maternity services.


New Law for Gestational Surrogacy in Nevada
Recently, Nevada became the first state to pass Assembly Bill (AB) 472 of the 80th Session of the Nevada Legislature. This law specifically bars health insurance companies from denying coverage to policyholders who act as gestational surrogates. This ensures that the intended parents, who are already shouldering high surrogacy costs, are not also responsible for paying burdensome medical bills. The new law eliminates a significant financial obstacle for prospective parents, putting their hopes of having a biological child within closer reach.
Finding the Right Health Insurance Coverage with Nevada Insurance Enrollment
As is the case with any other medical service, it is best not to assume that your health insurance plan provides the coverage you expect. Reviewing your policy with an experienced health insurance agent can help you know exactly what to expect from medical services and avoid unpleasant and expensive surprises. At Nevada Insurance Enrollment, we are experts in finding health insurance solutions for a wide range of situations and can help you sign up for the best plan for your needs and budget.
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Is Health Insurance Worth The Cost?
If you experience a more extensive medical emergency and require hospitalization, hospital bills may quickly become a burden. A three-day stay, for example, could set you back about $60,000 depending on what tests are ordered and what happens during your stay.


What is Co-Insurance?
Co-insurance means two parties will be paying for the bill. “Co” means joint, mutual, two, or more. The health insurance company will usually pay the larger amount (example 70%) and you as the member will usually pay the lesser amount (example 30%). This would be considered co-insurance 70/30. This (co-insurance) usually happens AFTER the deductible is met.


Health Insurance Coverage Effective Dates
Once you have picked a health insurance policy and paid your first month’s premium, you probably expect your coverage to begin immediately. However, depending on when you enrolled and under what circumstances, you may have several weeks before your health insurance coverage takes effect.
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To be fair, in recent years, health insurance companies have made strides towards transparency. If you have an ACA-compliant plan, there are many services that your health insurance is legally required to cover, taking some of the guesswork out of budgeting for health expenses.
Medical Loss Ratio
This Medical Loss Ratio states that when a family or individual buys a medical plan, 80% of every dollar collected and paid to an insurance company MUST pay medical claims/research. So that leaves the insurance company to pay ALL of their expenses with the remaining 20%. .20 cents on the dollar for their employees, buildings, broker costs, etc.
Why Does Health Insurance Have an Open Enrollment?
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Are Fertility Services Covered by Health Insurance?
Even if you live in a state that requires health insurance coverage for fertility treatments, there may be certain requirements that you have to meet to have services covered. For example, if you have unexplained infertility, you might only qualify for in vitro fertilization after a period of time or a specified number of in-vitro cycles.