Infertility
Conditions
Keywords
infertility, IVF, health insurance
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.
Interventions
BEHAVIORALHealth insurance educational guide
The educational guide includes 4 content areas: 1) Definition of key insurance terms; 2) premiums, deductibles across the five 2023 health plans; 3) Summary of how premiums and deductibles can affect out of pocket costs; 4) Guide to finding in-network IVF providers and facilities.
Sponsors
University of California, San Diego
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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. |
Countries
United States
Outcome results
None listed