UnitedHealthcareMedium ImpactCoverage
California commercial plans: New IVF and related services coverage
Published January 12, 2026Effective July 1, 2025
AI Summary
UnitedHealthcare will now cover IVF and fertility services for California commercial plans as a standard benefit starting July 1, 2025, ahead of the mandated coverage effective January 1, 2026. Prior authorization requirements remain unchanged for these services.
Action Required
By July 1, 2025: Billing team must update systems to process IVF and fertility service claims for California commercial patients. Continue obtaining prior authorization for all IVF services through UnitedHealthcare Provider Portal. Train staff to refer patients to Optum Fertility Solutions at 866-774-4626 for clinical support, though claims will be processed even when Optum is not used.
Plan Types
Commercial
States
CA
Specialties
ob-gyn, endocrinology