Strong Protections Make Nevada a Top Choice for Surrogacy
Nevada combines surrogacy-friendly legislation with one of the strongest insurance protections for surrogates in the country. Under state law, insurers cannot deny maternity coverage to a woman acting as a gestational carrier, giving intended parents and surrogates a level of financial clarity that few other states offer.
Surrogate Alternatives works with intended parents and surrogates in Nevada from its San Diego, California headquarters. The team is made up of current and former surrogates, so the people walking you through the process have lived it. Surrogate Alternatives has been building families since 1998.
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Nevada Law Protects Both Intended Parents and Surrogates
Pre-Birth Orders Available for All Intended Parents
Nevada permits gestational surrogacy under NRS 126.500 through 126.810. Intended parents can obtain a pre-birth parentage order so they are established as the legal parents to the child prior to birth. The order directs the birth certificate to list intended parents as the legal parents to the child, and no adoption is required. Pre-birth orders are available to married and unmarried couples, LGBTQ+ families and single intended parents, with no genetic connection to the child required.
First State to Bar Insurance Discrimination Against Surrogates
Nevada passed AB 472, making it the first state to prohibit insurers from denying, limiting or seeking reimbursement for maternity care because the insured is acting as a gestational carrier. Insurers also cannot place liens on the surrogate's compensation.
Because insurers cannot deny maternity coverage to gestational carriers, a surrogate's existing health insurance can cover her surrogacy pregnancy, reducing one of the largest variable costs for intended parents. Self-funded employer plans may still have exclusions, and Surrogate Alternatives coordinates with a licensed insurance broker to review coverage before the journey begins.
Surrogacy Agreements Are Enforceable Under Nevada Law
Nevada statute requires that gestational surrogacy agreements be executed in writing and validated by a court prior to the transfer of gametes or embryos. Once validated, the agreement is legally enforceable, protecting the rights and responsibilities of all parties before the pregnancy begins. Intended parents, surrogates and their respective attorneys each play a defined role in the process, and Surrogate Alternatives coordinates with experienced reproductive law attorneys to ensure agreements meet all statutory requirements.
How Intended Parents in Nevada Work with Surrogate Alternatives
Surrogate Alternatives serves Nevada intended parents from its San Diego headquarters. Intended parents connect with the team by phone, video or in person for a free, no-obligation consultation, where an agency director walks them through the full surrogacy process and answers questions about medical, legal and financial requirements.
The journey follows four phases: consultation, matching, medical and legal coordination, then pregnancy and birth. There is no waiting list. Many intended parents begin reviewing potential matches within days, based on compatibility rather than location. Only about 5% of surrogate applicants move forward after screening.
Surrogate Alternatives coordinates with reproductive law attorneys to manage contracts, pre-birth orders and parentage. All client funds are held in a 100% third-party escrow account through SeedTrust, and Surrogate Alternatives does not hold or control escrowed funds at any point.

Become a Surrogate in Nevada and Help a Family Grow
Surrogate Alternatives is looking for qualified, caring women in Nevada who want to give intended parents the family they have been hoping for. The team includes current and former surrogates who provide support, guidance and competitive compensation throughout the journey.

Who Can Apply
Surrogate Alternatives requires candidates to have at least one prior healthy pregnancy and delivery. Candidates must maintain a healthy lifestyle, be free from illegal substances and tobacco, be financially stable and be a U.S. citizen or permanent resident. After matching, surrogates complete a psychological evaluation and medical screening.
Compensation Package
Surrogate Alternatives offers competitive base compensation, with experienced surrogates eligible for higher rates. Additional compensation is provided for a twin pregnancy, and surrogates receive a monthly non-accountable expense allowance and a maternity clothing allowance. All compensation is managed through third-party escrow. Visit the surrogate compensation page for full details.
Support Throughout the Journey
Surrogate Alternatives provides a Pregnancy Wellness Program that includes dietary and nutritional counseling, acupuncture, massage and prenatal vitamins. Surrogate Alternatives was the first surrogacy agency to offer a wellness package. Surrogates also have access to an online support group, mentorship from experienced surrogates and annual retreats. A 24/7 emergency line is available to reach management throughout the journey.
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Frequently Asked Questions About Surrogacy in California
Is surrogacy legal in Nevada?
Surrogate Alternatives works with intended parents and surrogates in Nevada under NRS 126.500 through 126.810. The state permits gestational surrogacy with compensated arrangements and allows pre-birth parentage orders so intended parents are established as the legal parents to the child prior to birth. Traditional surrogacy, where the surrogate contributes her own eggs, is not permitted by statute.
How much does surrogacy cost for intended parents working with Surrogate Alternatives in Nevada?
Surrogate Alternatives provides intended parents with a detailed cost breakdown before the journey begins. Total costs include but are not limited to surrogate base compensation, medical and insurance expenses, legal fees and agency fees. Agency fees are fixed, and all remaining costs are explained in advance. All client funds are held in a 100% third-party escrow account through SeedTrust.
How does Nevada's insurance law affect surrogacy costs?
Surrogate Alternatives coordinates with a licensed insurance broker to review coverage before matching. Nevada's AB 472 prohibits insurers from denying maternity coverage to gestational carriers, which means many surrogates can use their existing health insurance for pregnancy-related care. This can significantly reduce the insurance costs that intended parents face in other states. Self-funded employer plans may still have exclusions, and Surrogate Alternatives helps identify coverage options early in the process.
Does insurance cover surrogate pregnancies in Nevada?
Surrogate Alternatives reviews insurance options with a licensed insurance broker during open enrollment. After match, Surrogate Alternatives assists intended parents with connecting directly with the broker to obtain information about coverage options so families understand these costs before the journey begins. Nevada law prevents insurers from denying maternity coverage to gestational carriers or placing liens on surrogate compensation. Self-funded employer plans may be an exception.
Do I need to live in Nevada to work with Surrogate Alternatives?
Surrogate Alternatives serves intended parents nationwide from its San Diego headquarters. Nevada law does not require residency but does require at least one connection to the state, such as a party residing there, the birth occurring there, the agreement being executed there or the medical procedures taking place there. Surrogate Alternatives coordinates all logistical details regardless of where the intended parents live.
Does Surrogate Alternatives support LGBTQ+ intended parents in Nevada?
Surrogate Alternatives proudly supports LGBTQ+ couples and individuals building families through surrogacy. Nevada law extends equal protections to all intended parents regardless of marital status, sexual orientation or gender identity. Same-sex parents are listed as "Parent" and "Parent" on Nevada birth certificates.
What are the requirements to become a surrogate in Nevada with Surrogate Alternatives?
Surrogate Alternatives requires surrogate candidates to have at least one prior healthy pregnancy and delivery, maintain a healthy lifestyle, be free from illegal substances and tobacco and meet the agency's age and health guidelines. After matching, surrogates complete a psychological evaluation and medical screening. Surrogate Alternatives accepts candidates who meet all program requirements.
How much are surrogates compensated in Nevada through Surrogate Alternatives?
Surrogate Alternatives offers competitive base compensation, with experienced surrogates eligible for higher rates. Additional compensation is provided for a twin pregnancy. Surrogates also receive a monthly non-accountable expense allowance, maternity clothing allowance and access to the Surrogate Alternatives Pregnancy Wellness Program. All compensation is managed through third-party escrow.
What happens if the intended parent and surrogate are in different states?
Surrogate Alternatives manages multi-state surrogacy journeys where intended parents and surrogates live in different locations. Surrogate Alternatives coordinates with fertility clinics, monitoring clinics and attorneys in both states. If a surrogate in Nevada is matched with intended parents elsewhere, Surrogate Alternatives arranges local monitoring and refers to a reproductive attorney with experience in both jurisdictions.
How does Surrogate Alternatives support surrogates who are not local to the San Diego office?
Surrogate Alternatives provides surrogates in Nevada with the same level of support as surrogates local to the San Diego office. There's also a 24/7 emergency line available to reach management. Surrogate Alternatives coordinates with local OB providers and monitoring clinics for prenatal care. Surrogates also have access to the Pregnancy Wellness Program, mentorship from experienced surrogates and an online support group.