Use of fertility drugs up 26% following drop in 2020

October 29, 2024

For plan members, sponsors and administrators

Summary: According to Manulife aggregate claims data, the number of women taking fertility medications dropped during the early stages of the COVID-19 pandemic but has more than rebounded in the years since.1 While benefits for fertility clinic treatments can be of great importance for would-be parents, fewer than 1% of employers offer coverage for fertility clinic treatments as part of their plan.1 This article provides recommendations for ways employers can help better support employees dealing with infertility, including providing fertility benefits, education, and support.

During the early stages of the COVID-19 pandemic in 2020, the number of Canadian women making claims for fertility medications dropped by 10.8%, according to Manulife aggregate claims data. With more limited access to fertility clinic services at that time, it is possible that women weren’t being prescribed these medications as frequently.

That decrease was short-lived.

In 2021, there was a jump in the use of fertility medications among women, which carried over into 2023, resulting in a total 25.7% increase since the early stages of the pandemic. Compared to pre-pandemic rates, our claims data shows a 12.2% overall increase in the number of women using fertility drugs from 2019 to 2023.1

Canadian members with Manulife Group Benefits extended healthcare coverage have access to fertility medications. However, fewer than 1% of employers with a Manulife group benefits plan offer coverage for fertility clinic treatments as part of their plan, representing about 10% of Canadians covered by our plans.

“Employers frequently offer coverage for fertility drugs but not for treatments at a fertility clinic,” says Alanna Macintyre, a Group Benefits Product Manager at Manulife. "Providing coverage for both drugs and treatment makes a tremendous difference for women and their partners in terms of giving them the resources they need to effectively pursue their path to parenthood.”

Infertility affects about 1 in 6 couples2 and seeking treatment can be expensive and stressful. For example, the average cost of the medications, treatments, and procedures for one round of in vitro fertilization in Canada is $20,000.3

For employers who want to opt in for fertility benefits, the standard recommendation is to offer a minimum of $15,000 per lifetime per family, although there are employers who offer coverage of up to $50,000 per lifetime per family. 

Infertility can take an emotional toll

"The fertility journey often comes with significant emotional and financial challenges related to the treatments and procedures. These challenges can cause significant stress and lead to mental health concerns,” explains Dr. Steve Pomedli from Cleveland Clinic Canada. “This stress can significantly affect many aspects of an individual’s life, including in the workplace.”

“Knowing fertility treatment was available to us without the massive expense made all the difference,” says Taryn Rendle, who works at Manulife as a customer experience supervisor.

Taryn and her partner, Dave, were eager to grow their family in 2023, only to run into trouble with unexplained infertility. Luckily, while Taryn was undergoing the fertility testing, fertility treatment coverage was added to the Manulife employee benefits plan.

“I felt so relieved,” shares Taryn. “The financial burden and invasiveness of treatment became secondary to our need and our purpose. With this coverage, we could focus on growing our family.”

Ways employers can better support women dealing with infertility

There are several ways employers can make a difference for employees who are seeking fertility treatments.

  1. Include fertility benefits in the employee benefits plan
    Employers can include fertility benefits as part of their employee plans. This can alleviate the financial burden on employees seeking fertility assistance.
  2. Educate managers and colleagues
    Provide training and information to managers and colleagues to increase awareness and understanding of infertility and the physical and mental health effects that undergoing fertility treatment can have on employees.
  3. Flexible work arrangements
    Offer flexible work hours or remote work options to accommodate medical appointments and treatments. This can help reduce the stress and burden on employees trying to balance work and fertility treatments.
  4. Employee and family assistance programs
    Provide access to a robust employee and family assistance program that offers counselling and support services for employees undergoing fertility treatments. This can help employees cope with the emotional and psychological challenges they may face during this process.
  5. Paid time off
    Consider offering additional or extended paid time off for employees undergoing fertility treatments, including time off for medical appointments, procedures, and recovery.
  6. Supportive workplace culture
    Foster a workplace culture that promotes open communication and support for employees going through fertility treatments. Encourage empathy, understanding, and respect for employees' privacy during this personal journey.
  7. Resources and support groups
    Provide access to resources and support groups for employees undergoing fertility treatments. This can create a sense of community and connection for employees who may feel isolated or overwhelmed during this process.

Fertility benefits from Manulife Group Benefits

This fertility treatment benefit can help you support your employees during their fertility journey to reach their goal of having a child, and it may provide coverage for eligible fertility treatments and medical procedures delivered at Canadian fertility clinics.

Examples of covered services include:

  • Administration fees
  • Physician and nurse’s fees (including injection fees)
  • Counselling services provided by the fertility clinic
  • Diagnostic services (blood work, lab tests, ultrasounds)
  • Genetic testing (diagnosis/screening, embryo biopsy)
  • Procedure costs for:
    • Assisted hatching
    • Egg/sperm retrieval
    • Sperm analysis, function tests, and preparation
    • Embryo culturing
    • Embryo transfer
    • Intracytoplasmic sperm injection (ICSI)
    • In vitro fertilization (IVF)
    • Intrauterine insemination (IUI)
    • Gamete intrafallopian transfer (GIFT)
    • Zygote Intrafallopian Transfer (ZIFT)
  • Egg/sperm/embryo freezing, storage, transfer, and thawing costs

Coverage is based on eligible medical expenses permitted by the Canada Revenue Agency and may be available as an additional benefit to your plan. Coverage amounts and maximums vary by plan.

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