Why mental health is the missing piece in family building benefits

By Lissa Kline, LCSW, SVP of Member Experience and Provider Relations

One employee is heading into yet another fertility appointment after weeks of medications, side effects, and waiting for answers. Another is newly pregnant after a previous loss, balancing excitement with anxiety. A new parent is returning to work, navigating sleep deprivation and the pressure to perform at home and at the office.

These experiences are common, and they expose a critical gap in how most family building benefits are designed.

Benefits often focus on procedures, providers, and outcomes, but family building isn’t just a clinical experience. It’s one of the most emotionally demanding periods in an employee’s life, where true resiliency and compensatory strategies are required as they navigate a complex medical process, sometimes for the first time in a member’s life. When that reality is overlooked, the gap between what employees need and what benefits provide becomes hard to ignore.

Family building is more than a clinical journey

Fertility treatment, pregnancy, postpartum recovery, and early parenthood can come with intense emotional highs and lows. At the same time, employees are managing work responsibilities while navigating infertility, pregnancy complications, loss, complex decisions, changes to their relationship dynamics, and financial strain.

In a recent Progyny member survey, 75% reported they experienced increased stress during the family building journey without benefit support. The most common stressors included work-life balance, cost of care, the complexity of the healthcare system, personal health concerns, and finding the right provider.

Despite this, traditional benefits models often leave employees to manage the emotional side of the experience on their own.

Mental health affects outcomes, not just experience

Mental health support is often treated as an add-on. In reality, it plays a direct role in whether employees stay engaged in care and achieve successful outcomes.

Stress, anxiety, and emotional fatigue are often cited as the primary reason employees delay treatment, disengage from benefits, struggle with decisions, or drop out of care entirely.

At the same time, the mental load affects workplace performance. Employees are often managing complex treatment schedules, financial uncertainty, and shifting responsibilities – while coping with fear, disappointment, and constant uncertainty. The result is reduced focus, lower productivity, and decreased engagement at work.

Forward-thinking employers are starting to recognize that mental health isn’t separate from family building outcomes – it’s a key driver of them.

What whole-person care actually requires

This is where many benefits fall short. Support is often fragmented, reactive, or disconnected from care. The most effective family building benefits take a different approach – integrating emotional support into every stage of the journey, from preconception through early parenthood.

That means:

• Embedding emotional support alongside clinical care
• Providing continuous, proactive guidance, not only episodic interactions
• Identifying stress, anxiety, or depression early
• Helping employees navigate uncertainty and complex decisions in real time
• Connecting members to higher levels of care, e.g., EAPs and other Behavioral Health Solutions proactively.

The impact of continuous, personalized support

Progyny’s model is built around this kind of whole-person care. Each member is paired with a dedicated Progyny Care Advocate (PCA) – a consistent guide who supports both the clinical and emotional aspects of the journey.

Unlike traditional models where support is fragmented, the PCA relationship is continuous and personal.

“Some members may not have a community, family, or friends to talk to,” says PCA Vanessa L. “When a member calls in to complete onboarding, their PCA helps them feel comfortable, confident, supported, and seen. That one-on-one connection can make a meaningful difference in their overall experience.”

PCAs go beyond logistics. They help members process decisions, understand what to expect, and stay engaged in care – even during the most uncertain moments.

“They’re managing medications, waiting for results, and trying to plan around an unpredictable timeline all at once,” explains PCA Corin T. “There’s a lot of uncertainty, and it can be mentally exhausting. We help ease that stress by talking through their worries, giving clear next steps, and being a steady source of support throughout the process.”

Just as important, support is proactive – not something members have to seek out on their own.

PCA Ashely D. explains, “Taking the responsibility of reaching out off of their shoulders helps members have a better experience. Even small moments of support can reduce stress and help them feel more confident.”

That support has measurable impact on Progyny members:

Closing the gap for employers

Employers have an opportunity to rethink how family building benefits are designed. When mental health is treated as separate, employees are left to carry a significant burden on their own, and that can lead to lower engagement, poorer outcomes, and higher drop-off from care. When it’s integrated into the experience, employees are more likely to:

• Stay engaged in treatment
• Make informed decisions
• Feel supported and confident throughout the journey
• Achieve better clinical and emotional outcomes

For employers, that translates into stronger retention, greater trust, and a more meaningful benefits experience. Progyny members report this kind of support changes how they experience care: 75% say they wish every healthcare experience came with a knowledgeable, trusted advocate like a PCA.

The benefits that matter most

The most effective family building benefits don’t treat mental health as an add-on, they build it into the foundation of care. When employees feel supported, seen, and confident during one of the most personal and uncertain times in their lives, they don’t just remember the outcome; they remember who supported them along the way.

If your current approach separates clinical care from emotional support, it may be leaving both outcomes and employee trust on the table. Learn how you can empower your employees with a seamless experience at scale, with empathy and measurable impact.

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