New competitive, comprehensive fertility solution

The need for competitive fertility solutions is increasing, and employers are looking for comprehensive, easy-to-manage benefits for their plan members. Infertility affects one in eight couples.¹ Many of the options available to couples seeking fertility solutions are complicated, expensive treatments that often require paying out of pocket, which adds financial stress to an already emotionally challenging experience.²,³

Progyny, a leader in the fertility space, is part of our Point Solutions Management portfolio, enabling employers to offer a competitive fertility benefit with simplified management and administration. Progyny’s fertility solution provides a positive member experience, cost efficiencies, and greater success rates for members.⁴ Point Solutions Management from CVS Health is a full-service offering that can help plan sponsors simplify contracting, secure lowest price, and monitor ongoing performance of third-party well-being point solutions.

The Need for a Comprehensive Fertility Solution

Over the past few decades, the trend has been toward many couples choosing to start families later in life, which can impact fertility.⁵ Employers have historically offered supplemental fertility benefits, but more members are looking to have it included as a core benefit.⁶ Increasingly employers are adding fertility benefits. Of companies with more than 20,000 employees, 44 percent offered some kind of in vitro fertilization (IVF) benefit in 2018, up from 37 percent in 2017.⁷

Research shows that nearly 70% of millennials would change jobs to ensure they have fertility coverage.⁸

In addition to the personal stress for couples, fertility issues can pose challenges for businesses due to increases in employee absenteeism and decreases in retention, which can result in a loss in productivity.⁹ There is a 4.4 times greater risk of absenteeism when longer hospitalizations or additional medical appointments are needed for the mother, her child, or both.

Comprehensive Member Support

Infertility is emotional and stressful, and Progyny provides members end-to-end concierge support for every step of what can be a difficult journey toward parenthood.¹⁰ Dedicated patient care advocates assist members with ongoing clinical guidance and emotional care. Members also have access to a network of fertility specialists with 800 providers at 600 clinic locations nationwide. Medications are mailed directly to a member’s home and Progyny Rx pharmacists offer proactive support, including medication use, and members receive coordinated, high-touch care every step of the way.¹¹

Understanding coverage is simple with the Smart Cycle bundle of services including the most prevalent fertility treatments, appointments, tests, diagnostics, labs, and procedures. Smart Cycle is designed to help members better understand their coverage, so they don’t run out.

Better Success Rates, Positive Outcomes

Progyny’s solution also has high success rates and positive outcomes* making it a leader in fertility services. Treatment plans are based on clinical criteria, not costs, and Progyny’s focus is on strong results.

Delivering on strong results for members helps Progyny provide clients with an attractive, value-centered fertility option.

• Greater Pregnancy Success
  • 17% higher
    pregnancy rate per IVF transfer
  • 25% lower
    miscarriage rate
  • 27% higher
    live birth rate
• Healthier Pregnancies
  • 26% higher
    single embryo transfer rate
• Healthier Babies
  • 66% lower
    IVF multiples rate¹²

Note: Progyny represents Progyny in-network provider clinic averages for Progyny members only based on the 12-month period ended December 31, 2021. For each Progyny outcome presented, the p-value when compared to the national average is <0.0001.(1) Calculated based on the Society for Assisted Reproductive Technology, or SART, 2019 National Summary Report, finalized in 2022. (2) Calculated based on CDC, 2020 National Summary and Clinic Data Sets, published in 2022.

A Cost-Efficient Fertility Solution

Progyny helps to reduce upfront treatment expenditures and offers savings in two key areas of fertility benefits. Coordinated care and fewer treatments needed to reach a successful pregnancy help lower overall costs, while fewer IVF-related multiple births reduce plan costs for high-risk maternity and neonatal intensive care.

The average cost per in IVF cycle exceeds $20,000.¹³

Our clients are offered the lowest pricing from vendors who are selected for the Point Solutions Management solution, as well as rigorous vendor evaluation, streamlined contracting, implementation, and administration. CVS Health also provides oversight of member eligibility and real-time billing verification, so clients only pay for the services used.

Point Solutions Management is a simple, efficient way for plan sponsors to add carefully evaluated well-being point solutions to the benefits they offer their members.