Open AccessThe Landscape of Coverage for Fertility Preservation in Male Pediatric Patients
Author(s) -
Molly Benoit,
Kelly A. Chiles,
Michael H. Hsieh
Publication year - 2018
Publication title -
urology practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.396
H-Index - 11
eISSN - 2352-0787
pISSN - 2352-0779
DOI - 10.1016/j.urpr.2017.03.007
Subject(s) - medicine , fertility preservation , fertility , gynecology , environmental health , population
The Patient Protection and Affordable Care Act(ACA) significantly increased the number of Americans with health insurance and has greatly improved access to health care services. However, states retain considerable jurisdiction over what benefits must be offered. The lack of a federal mandate for fertility preservation coverage results in a patchwork of benefits dependent on state statutes and regulation. Pediatric, adolescent and unmarried patients diagnosed with cancer or autoimmune diseases that impact fertility are often carved out of such coverage.