State access guide · Selected providers

Fertility in Hawaii.

Company statements checked September 11, 2026: 2 covered companies — Ro and Sesame — advertise online fertility services to patients in Hawaii. Confirm eligibility and total charges with the provider.

A sourced reference to selected online fertility services advertised for Hawaii, with payment arrangements and access limitations.

For patients in Hawaii. These are advertised online services, not verified local offices, appointment slots or prescription guarantees.

Two of the selected online fertility services publish statements that cover Hawaii. Neither is a clinic: one sells an at-home test and the other a virtual subscription that coordinates care, and that difference decides what the money buys.

A test and a subscription, each with limits

Ro’s Modern Fertility Hormone Test is listed at $179 and, its product page says, is available in every US state except New York and Rhode Island, so it is sold to buyers in Hawaii. It is an at-home collection kit mailed to a laboratory, with access to a fertility nurse for questions. That buys a result, not a course of care: no consultation, diagnosis or prescription is established, and Ro’s other fertility items are sold as separate products.

Sesame’s fertility programme page says its virtual care team is available in all 50 states, Hawaii among them. The subscription is advertised from $119 a month, or $99 for Costco members — both starting figures rather than fixed charges — and covers the initial visit, ongoing virtual visits, unlimited messaging, fertility planning, lab ordering, cycle support and medication management. Medications, labs, imaging, IUI and IVF, HSG, egg retrieval, genetic testing and cryopreservation or storage are listed as costs outside the subscription, and in-person treatment runs through the partner clinic group IVI RMA. The clinic and telehealth state lists on that page are IVI RMA’s own footprint, so readers in Hawaii should confirm separately where that partner actually treats patients.

A state statement shows where a product or subscription is sold; it does not establish personal eligibility, an open appointment or a prescription. The Ro and Sesame profiles and the national fertility guide add company and service-model context. This page documents selected online access, not a local office or a complete directory.

More guides for patients in Hawaii

Other care areas

Other medications

More telehealth providers in Hawaii

Browse the complete Inside Telehealth directory for Hawaii, combining the care and medication guides currently supported by our state-level evidence.

Selected providers

Which providers serve Hawaii?

2 companies with published profiles and service-specific source records. Listed alphabetically, not ranked. This is selected coverage—not every provider in the market.

Formats describe the program, not a guaranteed first-visit option in every state. A messaging or questionnaire option does not promise an initial evaluation without a live appointment. Read each provider’s service and state access notes.

Fertility in Hawaii: advertised services, access and charges. Each row has its own verification date.
Company & serviceProgram formats & cliniciansPayment & advertised chargesAccess & evidence
Ro

At-home fertility hormone testing sold as a product under the Modern Fertility brand

Official website ↗
  • Messaging or questionnaire

The catalogue page presents products rather than a booked clinician. The test's own product page describes access to a fertility nurse through the company's community for questions, so support exists, but no treating clinician relationship or consultation is established.

Access channel: Direct to consumer

Cash pay

The Modern Fertility Hormone Test is listed at $179. The catalogue also lists ovulation and pregnancy tests, each purchased separately. No ongoing fertility care price is published, because the offering is testing rather than a programme.

Ro sells the Modern Fertility Hormone Test in every US state except New York and Rhode Island, so it is offered to buyers in Hawaii. The claim covers that one at-home hormone test, not a fertility programme.

Ro's product page states that "The Modern Fertility Hormone Test is available in all US states except New York and Rhode Island." The statement applies to that one lab-based test, not to a fertility programme and not to Ro's other fertility products. The page describes an at-home collection kit mailed to a laboratory and access to a fertility nurse for questions, not a consultation. It names US states and not the District of Columbia. It does not establish a treating clinician relationship, a diagnosis, a prescription, or that anyone will interpret the result for a particular person.

State evidence checked · State availability source

The product page states the hormone test is available in all US states except New York and Rhode Island. This is testing rather than fertility treatment: the pages do not describe ongoing care, referral to a clinic or medication management. The cited pages brand the products as Ro's but do not state how the Modern Fertility brand came to be part of the company. Company-reported.

Company-reported · Checked

Sesame

A dedicated virtual fertility programme with consultations, care plans, messaging and medication management, and a route to in-person specialist treatment

Official website ↗
  • Live visit
  • Messaging or questionnaire

A dedicated fertility provider the company describes as trained in diagnostic protocol for reproductive medicine, with referral to IVI RMA specialists for in-clinic treatment including IVF and egg freezing where needed.

Access channel: Direct to consumer

Cash pay

Advertised as starting at $119 a month, or $99 a month for Costco members, with no insurance required. The source says starting at and as low as, so neither figure is a fixed monthly charge. The company states the monthly membership includes the initial consultation, ongoing virtual visits as needed, unlimited provider messaging, fertility planning, lab ordering, medication management and coordination with IVI RMA specialists.

Sesame says its virtual fertility care team is available in all 50 states, Hawaii among them. The subscription covers virtual consultation and coordination; in-person treatment runs through the partner group IVI RMA and is billed separately.

Sesame's fertility programme page states that "Patients begin their fertility journey with Sesame's virtual care team, which is available in all 50 states." That sentence covers Sesame's own virtual care team, which is consultation and coordination rather than treatment. The clinic and telehealth state lists printed on the same page are its partner IVI RMA's, and describe where that partner works rather than where Sesame does. The statement names the fifty states and not the District of Columbia. It does not establish patient eligibility, an appointment or a prescription, and the same page lists medications, labs, imaging, IUI and IVF, HSG, egg retrieval, genetic testing and cryopreservation or storage as costs outside the subscription.

State evidence checked · State availability source

The company publishes what the subscription excludes: fertility medications, laboratory testing, diagnostic imaging, procedures such as IUI or IVF, egg retrieval, embryo transfer or cryopreservation, and genetic testing or counselling. It says referred patients may receive discounts on select procedures and negotiated cash-pay lab pricing through Quest Diagnostics. So the monthly fee buys guidance and coordination, and the treatments themselves are billed separately. Company-reported.

Company-reported · Checked

How companies enter this list

Each selected company has a published profile, a maintained service row and a separately reviewed match to current evidence for this state. A general national footprint is insufficient. The list is selective; an omitted provider is not necessarily unavailable. Inclusion does not establish clinical suitability, state licensure or a currently available appointment.

Smaller and larger providers use the same source requirements and alphabetical ordering. Visit each profile for company history and wider context, or suggest another provider.

Source documents

The table dates show when its claims were checked. Document dates below describe the original sources, where supplied. Additional sources are linked directly in the guide.

  1. Modern Fertility tests — Roman Health Ventures Inc.
  2. Ro — Modern Fertility Hormone Test — Ro
  3. Sesame Launches Fertility Program with Costco & IVI RMA — Sesame, Inc.; published
  4. Sesame — Fertility program — Sesame