Abstract
Objective: Choices among advanced infertility therapies are widely thought to be influenced by patient emotions and ability to pay. To determine to what extent third-party reimbursement may drive decision-making in ART, the questions asked were 1) whether state-mandated insurance coverage for IVF-ET was a major influence in ART service selection, 2) whether the converse was also true, i.e., whether practices in states without mandated IVF coverage steered patients towards different services, and 3) would University-based programs, whether in IVF-mandated or non-mandated states demonstrate different approaches to these challenging decisions.
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