Military families face unique challenges when it comes to fertility care. Frequent deployments, relocations, and the demands of service make family planning difficult. Dr. Michael Wittenberger, a reproductive endocrinologist and Navy veteran, sheds light on these struggles and the legislative efforts aimed at improving access to care.

Unique Barriers to Fertility Care

Dr. Michael Wittenberger of HRC Fertility San Diego explains that military families often face extended separations, making it harder to plan for and pursue fertility treatments. “The military by its nature is just a completely different organization than what most people are,” he says. “The military mission takes precedence, and so the military mission often will require that service members are separated from their families.” Infertility rates are reportedly higher in the military, and remote postings limit access to specialists. With only a few reproductive endocrinologists serving the entire Navy and Marines, long waits for care are common.

TRICARE Limitations

While TRICARE covers fertility diagnostics, it offers limited support for treatments like IVF and artificial insemination. Dr. Wittenberger points out, “TRICARE completely covered the diagnostics of trying to diagnose you with infertility, but the treatment options are very limited with TRICARE for active duty.” He also notes that even when treatment is available within the military healthcare system, patients often face additional costs because of the lack of in-house embryology teams.

Legislative Efforts to Improve Access

Rep. Sarah Jacobs’ recent legislation aims to expand TRICARE coverage, including up to three IVF cycles and unlimited embryo transfers for active-duty service members. However, Dr. Wittenberger highlights a significant gap in care once service members transition to the VA. While the VA offers more comprehensive fertility benefits, the disparity between active-duty and veteran care remains troubling. Once service members leave active duty, they can access up to six IVF cycles through the VA, unlike active-duty members who face much more limited options.

Moving Forward

Improving access to fertility care for military families is crucial. Dr. Wittenberger’s insights highlight the need for expanded coverage and better access to specialists. At HRC Fertility, we are committed to supporting military families on their journey to parenthood.

If you’re a military family struggling with fertility, reach out to us. We’re here to support you on your journey to parenthood.

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