Evidence map›Paper›PMID 40602660›Full record

ArticleContemporary clinical trials2025

Navigating health insurance selection for in vitro fertilization (IVF) benefits: A study protocol.

Olumayowa Dayo, Victoria Turcotte, Breanna Reyes, Ricardo E Flores Ortega, Bonnie N Kaiser, Gregory A Aarons, Sara B McMenamin, H Irene Su, Sally A D Romero

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05663645 (Navigating Health Insurance Selection for in Vitro Fertilization), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05663645 nacompletednot on this map

Navigating Health Insurance Selection for in Vitro Fertilization (IVF) Benefits

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2023Enrolled221ConditionsInfertilityArmsHealth insurance educational guide
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Olumayowa DayoDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
Victoria TurcotteDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
Breanna ReyesDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
Ricardo E Flores OrtegaDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
Bonnie N KaiserAnthropology Department and Global Health Program, University of California San Diego, La Jolla, CA, USA.
Gregory A AaronsDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA; Dissemination and Implementation Science Center, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.
Sara B McMenaminHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
H Irene SuDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
Sally A D RomeroDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA. Electronic address: saromero@health.ucsd.edu.

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
TRAINING IN REPRODUCTIVE SCIENCEST32HD007203 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAMELA L MELLON · 1988 to 2026
$4.8M
NCATS NIH HHS UL1 TR001442NICHD NIH HHS T32 HD007203
6 · The paper itself

Abstract

introductionA large public university added health insurance coverage of 50 % co-insurance for up to two cycles of in vitro fertilization (IVF) to eligible faculty and staff.

methodsWe describe the design and conduct of a randomized controlled trial to evaluate the effectiveness of a health insurance educational intervention on health insurance literacy and IVF benefit utilization. The intervention materials included 1) Key insurance terms; 2) Examples of premiums and deductibles across the insurance plan options; 3) Examples of how premiums and deductibles affect out-of-pocket costs; and 4) A guide to find in-network providers/facilities. The primary outcome is health insurance literacy. Secondary outcomes are IVF services and insurance benefit utilization, out-of-pocket costs, and financial hardship related to fertility care. We will integrate mixed methods data to explore whether the intervention was effective, feasible, acceptable, and appropriate.

resultsAmong 394 faculty and staff screened, 217 (55 %) reproductive-aged (18 to 50 years) employees consented, completed the baseline survey and were randomized in a 2:1 fashion. Participants were female (81 %), married (63 %), and worked as a staff employee (72 %). At baseline, approximately 39 % reported an infertility diagnosis, and 28 % had undergone prior IVF treatment. Participants reported feeling slightly confident when using their health insurance plans and moderately confident being proactive when using their health insurance. DISCUSSION: Our goal is to improve health insurance literacy and utilization of health insurance benefits for IVF care, thereby expanding family-building options for reproductive-aged individuals.

trial registrationClinicaltrials.gov Identifier: NCT05663645 https://clinicaltrials.gov/study/NCT05663645.

Indexed as

Fertilization in VitroHealth LiteracyInsurance BenefitsInsurance CoverageInsurance, HealthAdolescentAdultFemaleHealth ExpendituresHumansMaleMiddle AgedRandomized Controlled Trials as TopicYoung AdultHealth insurance literacyInfertilityIVF

Identifiers

PMID40602660
PMCPMC12916094

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.