Coordinated care model addresses common barriers to fertility care for the 1 in 6 Americans facing infertility
Industry Leaders Announce Coordinated Fertility Care Partnership
NEW YORK–(BUSINESS WIRE)–Three industry leaders, Costco, Sesame, and IVI RMA North America, today announced a strategic partnership to transform how fertility care is accessed in the U.S. and address the biggest barriers to care for the 1 in 6 Americans who suffer from infertility and wish to build their family. The collaboration delivers widespread access to high-quality fertility care and advanced reproductive medicine specialists, affordable and competitive pricing, and coordinated care throughout the fertility journey.
Costco’s Commitment to Accessible Fertility Care
“Our partnership with Sesame and IVI RMA reflects our commitment to transparent and affordable solutions that reduce barriers, are more accessible, and more affordable for our members,” said Richard Stephens, Senior Vice President of Pharmacy at Costco. “By combining transparent pricing with coordinated care, we’re removing the barriers that have historically kept quality fertility treatment out of reach for too many families.”
How the Coordinated Care Model Works
Sesame’s Role: Intake, Diagnostics & Care Coordination
As part of a monthly membership agreement, Costco members gain immediate access to Sesame fertility care coordination, complete diagnostic workups, and a clear path to specialty treatment.
Universal Intake Process
With a universal intake policy, every patient starts with Sesame and receives a comprehensive intake evaluation, coordinated diagnostic support, and a referral to highly-experienced specialty care with IVI RMA North America when clinically appropriate. Patients arrive at IVI RMA North America clinics informed, prepared, and ready to focus on personalized fertility planning and treatment.
Reducing Fertility Medication Costs
Exclusive Costco Member Savings
Fertility medications are fulfilled by Costco, with exclusive Member pricing that includes savings of up to 80% on medications like Follistim through pharmacy programs. This dramatically reduces one of the biggest out-of-pocket expenses in fertility care, saving patients thousands of dollars on each cycle.
Access to IVI RMA North America’s Specialty Fertility Care
Negotiated Discounts for Costco Members
If specialty care is advised, patients are directly connected to IVI RMA, where additional discounts have been negotiated for Costco members.
Industry-Leading Treatment Options
IVI RMA provides high-acuity specialty care, including IVF , Co-IVF and IUI, through its cutting-edge clinics with industry-leading success rates.
Continuous Support Throughout Treatment
Throughout treatment, patients retain their Sesame clinician as a dedicated partner for
- Medical guidance
- Medical terminology translation
- Emotional support
- Care coordination
This ensures continuity of care, clarity, and a high level of personalized attention.
Leadership Perspectives on Expanding Fertility Access
Sesame Leadership
“This partnership empowers people to take control of their reproductive health without barriers, stigma, or waiting,” said David Goldhill, CEO & Founder of Sesame. “By connecting patients directly with care coordinators and world-class specialists, we’re making family planning accessible and delivering measurably better outcomes through coordinated, continuous care.”
IVI RMA Leadership
“The presidential order was a clear call to action—and as leaders of the fertility industry, we are executing on that mandate,” said Lynn Mason, CEO, IVI RMA North America. “In partnership with Costco and Sesame, leaders of the highest caliber, we are expanding access to quality fertility care and reducing barriers so more people across the country can build the families they desire. Every partnership we form, and program we launch is grounded in expanding access to the most advanced care for individuals and families who deserve expertise and support throughout their fertility journey.”
A New Standard for Accessible Fertility Care
By combining Sesame’s direct-access platform with IVI RMA Network’s clinical expertise and Costco’s transparent pricing, the partnership will dramatically improve treatment access, optimize diagnostics, and lower healthcare costs for families pursuing fertility care.
Program Availability
The program is now available nationwide at:
https://sesamecare.com/fertility.
Frequently Asked Questions
Answers to common questions about the Sesame, IVI RMA, and Costco partnership.
- It’s a new pathway that makes fertility care more accessible, affordable, and streamlined.
- Costco Members get Sesame’s fertility care coordination plus access to IVI RMA North America specialists.
- Patients also receive bundled savings across Sesame clinical care, labs, and imaging, along with IVI RMA North America discounted self-pay treatment prices.
- Costco Pharmacy provides up to 80% savings on fertility medications.
- It simplifies the patient journey through coordinated intake and support.
- Improved time to treatment, diagnostics completed by a Sesame provider.
- It reduces major cost barriers—especially medications.
- Patients enter care informed, prepared, and supported.
- It expands access to expert fertility care nationwide.
- It makes expert fertility care accessible nationwide, welcoming every path to parenthood.
A hopeful parent must be:
- New to an IVI RMA North America fertility center
- A Sesame subscriber
- A Costco Member: Available to all Costco members with no income eligibility requirements (no income cap)
- Referred to IVI RMA North America through Sesame’s official referral pathway
- Anyone looking to preserve their fertility or build their family!
- Individuals receive a discount on Sesame clinical care, lab work, imaging, and semen analysis
- Clinical care 12 months $100/mo
- Quest lab work: fertility panel + genetic screening 40% off
- Imaging ultrasounds + SIS 50% off
- Legacy semen analysis at-home kit 10% off
- Individuals receive a discount on IVI RMA North America self-pay treatment services, including Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), and egg, sperm, or embryo preservation. Excludes services not billed directly by IVI RMA, like anesthesia, donor eggs, donor sperm, and surrogacy.
- Patients must choose self-pay to access the IVI RMA discounted pricing. Discounted services cannot be billed to insurance.
- Individuals receive a discount on Costco Specialty Pharmacy of 80% off
- Yes. At participating clinics, the IVI RMA discount applies to the full package price
- If the clinic does not participate in treatment packages, the discount applies to all eligible self-pay fee-for-service charges instead
- Packages are standardized, not customizable or prorated
- Patients must begin with a Sesame clinician who:
- Completes their intake
- Coordinates diagnostics
- Assesses clinical needs
- Sends the official referral to IVI RMA North America. Only patients referred through this pathway qualify for the partnership discount.
- Get started today by visiting: https://sesamecare.com/service/fertility-program
About Sesame
Sesame is the only cash-pay healthcare platform connecting patients directly with top-rated doctors at transparent, up-front prices. By removing insurance, Sesame unlocks lower cost, more convenient access to high-quality clinicians for everyday care. Sesame has served over 1 million patients to date, offering more than 380 services across all 50 states. Learn more at sesamecare.com.
About IVI RMA North America
IVI RMA North America, comprising Reproductive Medicine Associates, Boston IVF, and Toronto-based TRIO, spans 25 IVF laboratories and has helped women and couples achieve pregnancies which have led to the birth of over 220,000 babies to date. Pioneers in innovative care, including PGT-A, single embryo transfer, fertility preservation, LGBTQ+ care, and more, the network has published over 1,000 papers, which have pushed the fertility industry forward. IVI RMA North America is part of IVI RMA Global, the world’s leading reproductive medicine group committed to providing evidence-based fertility solutions to patients seeking treatment anywhere in the world. IVI RMA Global employs more than 6,000 people across 200+ locations in 15 countries. Learn more at rmanetwork.com and ivirma.com.
About Costco
Costco Wholesale Corporation operates an international chain of membership warehouses dedicated to bringing members the best possible prices on quality brand-name merchandise. As of November 2025, Costco operates 923 warehouses worldwide across 14 countries. Learn more at costco.com.
Media Contact:
Kari Porter
sesame@scoutlab.com
IVI RMA North America Media Contact:
Alex Varney
avarney@stantonprm.com
646-502-3565
