Welcome to the CNY Fertility family!
Congratulations on starting your fertility journey with us.
Making Priceless Affordable ™ 844-315-BABY www.cnyfertility.com⌕
We have created this guide to assist you in navigating through the steps of fertility treatment to provide a full picture of the steps ahead. You may also visit our website for additional information. → https://www.cnyfertility.com/
It’s true, no two paths to creating a life are the same. Everything from your medical history and fertility diagnosis to your location, personality type, and goals can influence the type of treatment that best suits you and your family-building needs. Know that you are ultimately in control. We never limit the type, or number, of treatments you pursue, but we are always here to help guide your decisions – every step of the way.
Let’s get started!
WHAT CAN I DO PRIOR TO MY CONSULTATION?
This guide will help you prepare for your consultation and navigate the next steps effectively.
STEP 1: RESOURCES
• CNY Onboarding Page (click here): Review our new patient materials and access our library of Welcome Videos, which walk you through financial and consultation preparation in more detail.
• Financial Welcome Packet (click here): Our Financial Consult Navigators take you step-by-step through the financial process in this detailed packet, which includes a checklist, private pay information, insurance worksheets, and disclosure forms.
• Family Building Guide (click here): Meet our team, learn about the services we offer, explore financing options, and read the success stories of others who have shared their journey to parenthood with us.
• Consult Preparation Guide (this document): Understand the consultation timeline, what to expect during your consult, and additional information on traveling for treatment
• Testing: During your consultation, our provider may recommend a Diagnostic Testing month prior to treatment with us. If you have had any of the recommended diagnostic testing within the last year, we will not recommend that you repeat that testing If you want to complete any of the recommended testing before your consultation, you are welcome to do so. Please upload any results to your patient portal or have them faxed to our office: 315-930-2096.
Diagnostic Testing Checklist: Below is a checklist of the recommended diagnostic tests. For your convenience, you may print this off and provide it to your local OB/GYN or Primary Care provider to complete prior to your consultation.
If you are local to one of our CNY Fertility locations, you may call to schedule.
**If you choose to decline the recommended testing, we will ask that you and your partner, if applicable, sign a consent that you are declining the recommended testing.
CNY FERTILITY RECOMMENDED DIAGNOSTIC TESTING
AMH
Blood Type and Rh
Antibody Screen
CBC (complete blood count)
CMP (complete metabolic panel)
Expanded Genetic Carrier Screening
Hepatitis B Surface Antigen
Hepatitis C Virus Antibody
HIV-1/HIV-2 Antibody
Prolactin
Rubella IgG
RPR
TSH (thyroid)
Testosterone
Varicella IgG
Vitamin D
HGBA1C
Semen Analysis
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IMAGING:
Hysterosalpingogram (HSG) – an X-ray procedure that uses a contrast dye to evaluate the patency and health of a woman’s Fallopian tubes. Commonly referred to as a dye test.
Saline Sonohysterogram (SHG) – A transvaginal ultrasound with the slow introduction of saline solution into the uterus to evaluate uterine abnormalities and the endometrial (uterine) lining.
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STEP 2: CONSULTATION TIMELINE
Prior to your Telehealth Consultation, please work on completing the tasks mentioned in this packet, along with the recommended preconception testing.
Here’s what to expect leading up to your consultation, during, and right after:
1. First, you'll receive your Welcome Email from our Welcome Center Team. In this email, you’ll receive several important items:
a. your patient portal login information (it’s critical to log in, complete your history forms, and be on the lookout for messages from your Nurse Navigator team);
b. a link to your Financial Packet; and
c. a link to our YouTube library of welcome videos that address common questions.
2. Two weeks before your scheduled consultation, your Nurse Navigator will reach out through your patient portal to check in on your pre-consult progress (regarding medical and financial uploads).
3. One week prior to your consultation, you'll receive a portal message from your Nurse Navigator, providing a date for your post-consult nurse call.
4. On your scheduled date and time, one of our dedicated providers will call you for your consultation. During your consultation phone call, the provider will review your medical history, answer any questions, and get you set up to move forward.
5. Approximately one week after your consultation, you'll have a scheduled 30-minute postconsult call to discuss next steps. At this time, your Nurse Navigator will also address upcoming medications, consents, and testing.
STEP 3: FINANCIAL PLANNING
Please review the Financial Welcome Packet (click here), if you haven’t done so Information to help you prepare financially for your treatment is outlined there If you have not, please make sure you upload a copy of your INSURANCE CARD, PRESCRIPTION CARD (if applicable), and your DRIVERS LICENSE for both you and your partner (into your patient portal) If you are using private health insurance, verification of coverage and pre-authorization will be required to ensure payment.
We do participate with most private health insurance plans and understand insurance coverage may be limited. Insurance coverage for fertility is based on what your employer chooses to cover Two patients may have their insurance through the same insurance provider; however, their coverage may be very different based on what the employer covers.
• Check your insurance coverage by contacting the Human Resources department for your employer and/or contacting your insurance provider directly to determine what coverage you have for diagnostic tests and treatment.
o If using private health insurance to pay for your treatment, your insurance carrier may require testing results within 6 months of planned treatment, for any pre-authorization.
• Upload a copy of your INSURANCE CARD, PRESCRIPTION CARD (if applicable), and your DRIVERS LICENSE for both you and your partner to your patient portal.
• If you are using private health insurance, verification of policy coverage/limitations and preauthorization will be required PRIOR to cycle start.
• For more information on using private insurance, please review pages 10 – 15 of the Financial Welcome Packet (click here).
I’VE HAD MY CONSULT, NOW WHAT?
STEP 4: TESTING AND BEYOND
Typically, the next step in your fertility journey is to complete the recommended diagnostic testing, if you have not done so prior to your consultation. The recommended diagnostic testing may be completed after your consultation at one of our locations.
If you have had any or all of the following tests within the past year and they were “Normal,” you do not need to repeat the testing, but please upload all test results to your patient portal, or have them faxed to our office: 315-930-2096.
For our Male clients: Semen Analysis
For our Female clients:
Preconception Testing:
Antibody Screen
Blood Type and Rh
CBC Testosterone
CMP Prolactin
Hepatitis B Surface Antigen
Hepatitis C Virus Antibody
HIV-1/HIV-1 Antibody
To proceed with the recommended testing:
Varicella
Vitamin D
Comprehensive Genetic Panel
• If you are a Travel Client, you should have received recommended testing orders during your post-consult call. However, if you haven’t received them yet, reach out via your patient portal to our Global Telehealth Team. You may also visit our website for further information as a client “traveling for treatment”: https://www.cnyfertility.com/the-ten-steps-of-traveling-for-fertility/
• If you are local to a CNY Fertility (and plan to do your testing in-house), call our office or send us a web correspondence through your patient portal with the first day of your menstrual cycle, or at any time after your consultation if you do not get regular menstrual cycles. Our clinical team will then schedule you for the Preconception Testing, baseline labs, ultrasound, and the HSG/SHG procedures.
This month is commonly referred to as your “testing month.”
STEP 5: PREPARING FOR YOUR TREATMENT CYCLE
Once you have completed your “testing month,” this is the best time to get your medications ordered. Medications must be in hand prior to starting any treatment.
• Reach out to our Prescription Team two weeks prior to your anticipated treatment start date to have your medications ordered for your upcoming cycle.
• Please check medication coverage with your insurance PRIOR to having any medications ordered. Your insurance may require use of a specific pharmacy and/or drug.
We require that all consents are completed by you and your partner, if applicable, prior to you starting your treatment plan. Your consents are typically found in your patient portal; you may upload your consents, and any other documents, into your patient portal for us to view.
Once you have:
• Completed the recommended testing
• Signed all required consents
• Have met all financial requirements
• Have your medications ordered and, in your possession,
• Donor sperm has been ordered (if using)
You are ready to start!
STEP 6: WHEN YOU’RE READY TO START
• One Day 1 of your cycle, call our Global Telehealth Team, or send a message via your patient portal to schedule your Baseline Appointment (blood work and ultrasound). This will typically be done on cycle day 2, 3, 4 or sometimes day 5.
• When you arrive at one of our offices, we will give you written instructions and do a one-on-one teaching session on how and when to administer your medications.
• We will also schedule all your follow up appointments and give you a TENTATIVE date for egg retrieval/IUI.
• If you are a Travel Client, our Global Telehealth Team will call you on the day that you have your baseline appointment and review all details of how, and when, to administer your medications and when to schedule follow up appointments.
• We also have injection instruction videos (for many different languages) on our website: https://www.cnyfertility.com/patient-resources/
• You will typically be seen three more times after your baseline appointment to monitor your egg growth to determine the best day to plan your egg retrieval or IUI.
• At each visit, you will get your medication instructions and confirm your follow up appointment.
When your eggs have reached a certain size, we will plan your egg retrieval
• You will take medication to prepare the eggs for final maturity and for retrieval. We use Lupron and/or HCG to “trigger” this final maturity. We might use one, or a combination of these medications.
• We will give you specific instructions on what to give and EXACTLY what time to give the trigger.
• The egg retrieval is performed 35 hours after your first trigger injection.
• If you are a Travel Client and you are flying to one of our locations for your procedure, we require you to arrive the DAY BEFORE your procedure. Flight cancellations/delays could cause your cycle to be canceled.
Unless we specifically tell you, intercourse/sexual activity is permitted up until the time of trigger.
HOW DO I ENHANCE MY OUTCOME?
Please continue to visit our website at www.cnyfertility.com Under Resources, please view and begin the recommendations in our “Family Building Guide.” The Family Building Guide is a great resource for all your family building questions and is updated often to enhance outcomes: https://issuu.com/cnyfertilityteam/docs/cnyfertilityfbgwithcoandifgwebversion?fr=sZmQxNTUzODk2OA
We look forward to assisting you through your family building journey and are here for you every step of the way!