Required surrogate travel is usually arranged or reimbursed under the signed agreement. Coverage may include mileage, airfare, hotel, meals, parking, rides, childcare, and approved companion expenses. The limits, approval steps, and payment method matter as much as the word “covered.”

Naomi’s “one-day trip” became two hotel nights
Naomi expected to fly in, complete the transfer, and return the next afternoon. A weather delay canceled her flight. The clinic also wanted her nearby for one more check.
Because the travel plan named a booking contact and emergency approval process, she did not put a new hotel and flight on a card she could not afford to carry. The coordinator changed the reservation and documented the extra night.
Travel support worked because the unexpected part had a process—not because every detail had been predicted.
Expenses that may be covered
- Airfare, train, rental car, rideshare, or mileage
- Hotel and required nights before or after a procedure
- Meals or a daily meal allowance
- Parking, tolls, baggage, and local transportation
- Childcare and lost wages
- Approved companion travel
- Changes caused by clinic instructions or emergencies
Ask these questions before booking anything
- Does the agency book travel, or do I pay and request reimbursement?
- What spending limits apply?
- Can I choose safer or more flexible travel when the cheapest option is impractical?
- Who may travel with me and for which appointments?
- How are meals calculated?
- What receipts are required?
- Who handles a cancellation after business hours?
- How quickly are personal expenses reimbursed?
ASRM’s ethics guidance supports transparent financial arrangements that address the gestational carrier’s burdens and expenses.1
Build the trip around your family, not only the flight
Add the hours from leaving home until returning. Then include school pickup, pet care, medication storage, time off work, and the person who can stay longer if the clinic changes the plan.
Naomi carried the coordinator’s after-hours number, clinic address, insurance card, medication list, and a copy of the travel approval. She also kept a small emergency amount available even though the major trip was prepaid.
Mileage is not one universal number
The IRS standard business mileage rate is a tax rule, not an automatic surrogacy reimbursement rate.2 Your contract may use that rate, another rate, or direct transportation arrangements. Ask before driving long distances.
Common questions, answered
Can I bring my partner?
Sometimes, especially for transfer, delivery, or medically necessary support. The contract should say which trips and expenses qualify.
What if I prefer to drive instead of fly?
Ask first. Distance, safety, time, hotel nights, mileage, and clinic timing may affect approval.
What if I cannot put expenses on my own card?
Say that before travel. Ask for direct booking, a travel advance, or another contract-approved method.
Covered should mean usable
Naomi did not need a vague promise after her flight was canceled. She needed one person authorized to fix it. Also read how much travel may be required and how childcare fits the trip.