Navigating Health Insurance Selection for IVF Benefits

Not Applicable

Completed

• Conditions: Infertility
• Interventions: Behavioral: Health insurance educational guide

• Registration Number: NCT05663645
• Lead Sponsor: University of California, San Diego

Brief Summary

The purpose of this study is to evaluate the effectiveness of an educational intervention on health insurance literacy and utilization of in vitro fertilization (IVF) insurance benefits. The investigators hypothesize that the intervention is acceptable and satisfactory and will result in increased health insurance literacy and utilization of IVF benefits.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-11-09
• Study First Submitted: 2022-12-01
• Study First Submitted QC: 2022-12-21
• Study First Posted: 2022-12-23
• Primary Completion: 2023-12-01
• Study Completion: 2023-12-01
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-27
• Last Update Posted: 2024-10-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 221

Inclusion Criteria

• Employees eligible for health insurance coverage
• Reproductive aged (18 to 50 years)
• Intention to grow their family in the next year
• Primary language English or Spanish

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health insurance educational guide	Health insurance educational guide	Eligible individuals will receive a health insurance educational guide to support choosing among 5 health plans for IVF coverage. They will also receive receive a one-page guide with a link to the Open Enrollment website that is available to all employees during the open enrollment period.

Primary Outcome Measures

Name	Time	Method
Health Insurance Literacy Measure	10 months after receipt of the intervention	9 items from the Health Insurance Literacy Measure will assess participants' confidence using their health insurance and being proactive with their health insurance for IVF services. Items will be scored from 0 (not at all confident) to 3 (very confident). Higher scores indicate better health insurance literacy.

Secondary Outcome Measures

Name	Time	Method
Utilization of IVF services	10 months after receipt of the intervention	Participants will self-report utilization of IVF services.
Insurance coverage	10 months after receipt of the intervention	Participants will self-report insurance coverage related to IVF services.
Financial hardship	10 months after receipt of the intervention	The 15-item Economic Strain and Resilience in Cancer tool will be used as a self-report subjective measure of financial hardship related to infertility and IVF services. Items are scored from 0 (least hardship) to 10 (most severe hardship). Higher scores indicate worse financial hardship.
Out of pocket expenses	10 months after receipt of the intervention	Participants will self-report out-of-pocket expenses related to IVF services.
Health Insurance Literacy Measure	1 month after receipt of the intervention	6 items from the Health Insurance Literacy Measure will assess participants' likelihood of comparing health insurance plans. Items will be scored from 0 (not at all confident) to 3 (very confident). Higher scores indicate better health insurance literacy.

Trial Locations

Locations (1)

University of California San Diego; 🇺🇸 La Jolla, California, United States