A Trusted, Experienced Partner for Health Plans

Women’s healthcare is fragmented. Lack of access, support, and coverage for complex condition areas is leading to increased health risks and associated costs.

1 in 5

women of childbearing age have 2 or more chronic conditions¹

1 in 6

struggle with infertility, and many more require family building assistance²

$26B

$26 billion is the annual cost of preterm birth in the U.S.³

59%

missed work due to menopause symptoms, 18% for 8 weeks or more⁴

Expert, specialized support for an evolving landscape

Progyny is integrated with over 50 health plans, providing comprehensive, equitable solutions that provide support for members within self-insured and fully-insured plans.

Fertility & Family Building

Pregnancy & Postpartum

Menopause & Midlife

Our solution is built on the framework of our industry-leading fertility benefit, which has consistently delivered 8 years of superior clinical outcomes. To achieve this, Progyny prioritizes outcomes-based care, which includes:

Specialty provider network of the nation’s top specialists
Data-driven care by way of utilization management, proactive member outreach, and client-level reporting with unique visibility on member outcomes
Concierge member support from a dedicated Patient Care Advocate for a member’s entire journey, including guidance on clinical best practices, care decisions, and emotional wellness
Equitable benefit design that enables coverage and access to evidence-based care and integrated Rx

Improve risk management and affordability of care

Progyny is the only benefits provider reporting independently verified outcomes for each member.

Increased Cost Savings

Year-over-year, Progyny’s rates have decreased while healthcare costs across the U.S. continue to rise, experiencing rate increases of 5% or more per year

Fewer High-Cost Claims

24% higher single embryo transfer rate and 72% lower IVF multiples rate means fewer high-cost maternity and NICU claims

Fewer Treatments to Successful Outcomes

17% higher pregnancy rate per IVF transfer and 36% fewer retrievals per live birth means fewer medications and treatments are needed for successful pregnancies

More Access to Quality Care Delivery

Premier network of fertility and women’s health specialists, providing members access to over 1,000 leading reproductive specialists and 50-state access to menopause specialists, with provider appointments within a week

Why health plans choose to partner with Progyny

Our solution is specifically designed to deliver and manage evidence-based complex care from preconception to menopause and make a meaningful difference in the health of millions – more healthy pregnancies, more healthy babies, and better care across a lifetime.

A Progyny partnership means health plans and their clients have access to:

Simplified contracting
Implementation and provider billing management
Care management integration and referrals within program ecosystems
Pre-negotiated case rates
NCQA compliant and HITRUST certified

From the Blog

Fertility in the Workplace

Demystifying the fertility and family building benefit space

There are nuances in provider networks, financial models, and clinical outcomes among different family benefits – learn how to evaluate the differences.