Table 1.

Characteristics of commercially insured women 19–45 years of age with claims for infertility treatments during 2011

	In vitro fertilizationa		Intrauterine insemination		Ovulation-inducing medications only		All enrollees
	N	%	N	%	N	%	N	%
Total	9919		10,112		23,736		6,006,017
Ageb
19–25	216	2.2	368	3.6	1872	7.9	1,388,382	23.1
26–30	1733	17.5	2440	24.1	6848	28.9	951,800	15.9
31–35	3519	35.5	3826	37.8	7825	33.0	1,099,298	18.3
36–40	3153	31.8	3647	26.2	5318	22.4	1,244,443	20.7
41–45	1298	13.1	831	8.2	1873	7.9	1,322,094	22.0
Infertility diagnosis
Anovulationb	1313	13.2	1943	19.2	6249	26.3	17,931	0.3
Pituitary-hypothalamic origin	67	0.7	57	0.6	122	0.5	402	0.01
Tubal originb	826	8.3	567	5.6	1313	5.5	6812	0.1
Uterine originb	175	1.8	138	1.4	182	0.8	870	0.01
Cervical originb	58	0.6	72	0.7	84	0.4	373	0.01
Other origin—specifiedb	3043	30.7	2270	22.5	3005	12.7	12,929	0.2
Unspecified originb	8825	88.9	8112	80.2	16,034	67.6	63,897	1.1
Any infertility diagnosisb	9533	96.1	9203	91.0	20,344	85.7	81,259	1.4
Had infertility testingb
Yes	3152	31.8	3244	32.1	6150	25.9	23,812	0.4
No	6767	68.2	6868	67.9	17,586	74.1	5,982,205	99.6
Insurance typec
PPO/EPO	7336	76.1	6258	65.4	15,029	67.3	3,738,164	66.2
HMO/ capitated POS	778	8.1	1693	17.7	3646	16.3	952,546	16.9
POS (non-capitated)	667	6.9	681	7.1	1708	7.6	410,388	7.3
CDHP/HDHP	844	8.8	887	9.3	1825	8.2	506,720	9.0
Comprehensive	-d		46	0.5	135	0.6	42,756	0.8
Health plan typeb
Self-insured	5820	58.7	6256	61.9	14,026	59.1	3,120,316	52.0
Fully-insured	4099	41.3	3856	38.1	9710	40.9	2,885,701	48.1
Regionb
Northeast	2627	26.7	2691	26.8	4682	20.1	935,328	15.9
North central	3221	32.7	2629	26.2	5865	25.2	1,414,192	24.1
South	2530	25.7	2542	25.4	9059	38.9	2,427,750	41.3
West	1477	15.0	2166	21.6	3698	15.9	1,103,992	18.9
Infertility insurance mandateb,e
Yes	6373	64.7	5894	58.8	11,410	49.0	2,780,252	47.3
No	3482	35.3	4134	41.2	11,895	51.0	3,103,726	52.8

PPO preferred provider organization, EPO exclusive provider organization, HMO health maintenance organization, POS point-of-service, CDHP consumer-driven health plan, HDHP health deductible health plan

^aIncludes in vitro fertilization with or without intrauterine insemination

^bP value < .05 for comparison of distribution of the characteristic across infertility treatment groups

^cInsurance type missing for 5% of study population

^dN < 30; data not reported

^eResides in a state with an infertility insurance mandate (Arkansas, California, Connecticut, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, Texas, and West Virginia); residence missing for < 2% of study population