Frequently Asked Questions
ARC Fertility Employer Program FAQ’s
Why is having a fertility benefit significant for an employer?
Having fertility benefits is vital for recruiting and retaining top talent in today’s competitive market. Having a good fertility benefit is a differentiator and creates a family-friendly company culture and fosters loyalty. It supports an employer’s commitment to workforce diversity and inclusion. It increases productivity for the employee that is receiving the benefit because there is a defined path to pursue fertility options without the stress and financial burden. A flexible managed fertility solution will reduce medical costs for the employer because the employee receives evidence-based care resulting in better outcomes from fewer embryos transferred. Medical Cost Savings is realized by fewer high-risk pregnancies, preterm births, and a reduction in NICU costs.
Do traditional health insurance plans cover fertility benefits?
Most insurance plans do not offer comprehensive coverage for fertility care. Some insurance companies will cover infertility treatments for employees, but the extent can vary depending on the plan. Traditional health insurance does not keep up with technology changes. The plan usually requires an infertility diagnosis and forces the employee to navigate treatment on their own, which can be stressful, inefficient, and costly.
What is the ARC Fertility Employer Program?
The ARC Fertility Employer Program is a flexible, managed fertility solution designed for employers. The solution benefits both the employee and the employer.
How does the ARC Fertility Employer Program benefit the employee?
ARC’s bundled packages are evidence-based and comprehensive for all clinical, laboratory, surgical, pharmaceutical, and outside services. The bundled packages provide cost savings of 10% to 50%. They also include services that usually cost extra, such as frozen embryo transfer, and encourage the transfer of fewer embryos. ARC packages reduce multiple pregnancies, resulting in healthier mothers and babies. ARC’s twin rate is 19% lower than the national average. ARC’s benefit allows for a more comprehensive array of treatment options, which addresses inclusion.
Does ARC require an individual member to meet a definition of infertility?
No, ARC does not require an individual member to meet a definition of infertility. This enables the inclusion of a diverse population of individuals who want to access fertility or infertility treatments.
Is the ARC Fertility Employer Program cost-effective?
To make the ARC Employer Program cost-effective for all employers, and because not all employees will utilize fertility benefit services, there are NO PEPM fees. The Employer subsidy is paid ONLY when an employee uses the services. There is also a small annual company access fee so that all employees have access to all the ARC Fertility services. The employer is in control of how much they wish to subsidize the employee’s maximum annual or lifetime benefit. ARC clinics saved payers $47,292,000 in reduced NICU costs in 2016-2018.
Can the ARC Fertility Employer program integrate into an existing plan?
Yes, ARC can work with the employer’s plan or their TPA to establish the simplest possible payment mechanism. Since ARC Treatment Packages are all-inclusive for clinical services and can include Pharmacy, Genetics, and other Services, a global payment can be made for groups or bundles of services.
How flexible is the ARC Fertility Employer Program with their benefits packages?
ARC can design packages that meet the limitation and exclusion choices of the employer, including IUI, IVF, egg freezing, sperm and egg donor, surrogacy, emotional, and adoption support.
Does ARC Fertility offer financing programs?
Yes, financing programs are available through ARC to cover any gap between the employer contribution and employee need. This support reduces time, energy, and distraction for employees struggling with family building.
Does ARC Fertility have Telehealth?
Yes, ARC Fertility has a Telehealth System. This system provides expert consultations at a distance and more cost-effective interventions. It brings cost savings to employers by minimizing time away from work.
How many people are affected by infertility?
1 in 8 are diagnosed as infertile. It is more widespread than breast cancer or diabetes.
Are both men and women affected by infertility?
Yes, both men and women experience infertility; it does not discriminate.
About ARC Fertility
How long has ARC Fertility been in business?
ARC was founded in 1997 by Dr. David Adamson, an internationally recognized expert and physician leader in fertility medicine. Dr. Adamson is the Founder, Chairman, and CEO of ARC Fertility. EXPERT, PROVEN and TRUSTED.
How large is the ARC Fertility Network?
ARC Fertility is the largest physician-led network providing over 64,000 cycles per year at over 249 locations and is comprised of 426 vetted and validated board-certified reproductive endocrinology infertility specialists. ARC has the most established network of award-winning Centers of Excellence, providing evidence-based medicine for optimal outcomes.
Start building better fertility solutions today
Start building better fertility solutions today