0915 price sheet web

This is a price guide outlining the costs involved in fertility treatment and investigation.

A Fertility Associates doctor or nurse can give you an individualised indication of what costs will be involved at each step of your treatment pathway.

Treatment fees valid until 31 march 2016

Consultations

Your First Consultation with a fertility doctor will outline your options and suggest a personalised treatment plan to help with diagnosis and treatment selection.

First doctor consultation – fee varies between clinics Follow-up doctor consultation or consent appointment Counselling consultation

$205–$275 $110–$180 $155 Please refer to the “About Payment” section on the back page

pre-treatment

Your fertility doctor may advise tests to help with diagnosis and treatment selection.

Hers

His

AMH test – cost varies by area due to courier costs Urinary LH kit – 5 test box Ultrasound scan Saline ultrasound scan Hysteroscopy Diagnostic tracked menstrual cycle

$85–$110 $80 $125 $685 $1,140 $765

Semen analysis MAR sperm antibody screen Strict sperm morphology Trial sperm wash SCSA for sperm DNA fragmentation Semen analysis + MAR + SCSA Semen analysis + sperm freezing + 6 months storage Surgical sperm retrieval

$98 $55 $130 $200 $240 $365 $215 $1,020

Please refer to the “About Payment” section on the back page

non-ivf treatments

Your fertility doctor may suggest Non IVF treatments that use a non-surgical form of technology.

Cost per cycle (excl. medication)

Monitored Clomiphene Co-ordinating and monitoring scans & blood tests Early pregnancy monitoring

Average cost for medication

$310 $310

$20–$30

Cost per cycle (excl. medication)

Average cost for medication

IUI using Partner sperm

$1,565

$0–$500

IUI + Clinic Donor sperm 2 Recipient counselling consultations required before treatment commences

$2,325 $310

$0–$500

IUI + Personal Donor* sperm 2 Recipient counselling consultations required before treatment commences

$1,270 $310

$0–$500

Intrauterine insemination (IUI)

Fees include: 1 early pregnancy monitoring OR a doctors review, and 1 counselling consultation per 4 cycles.

*You will also need to pay a one-off fee for preparation of Sperm Donor, see page 3

Ovulation with gonadotrophins Includes a counselling consultation for each package of 4 cycles Note: There is no cost reduction if low response during treatment.

Cost per cycle (excl. medication)

Average cost for medication

$1,150

$1000–$2,500

Please refer to the “About Payment” section on the back page

If you have any questions about fees or payment options please call our finance liaison at your local clinic. We will be happy to talk it through with you.

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ivf treatments In Vitro Fertilisation (IVF) is used to overcome a wide range of fertility issues and for many couples it gives the best chance of having a baby.

IVF Cycle

Fees for IVF cycles are inclusive of up to 2 counselling consultations, early pregnancy monitoring OR a doctor review, embryo freezing and 6 months storage.

IVF cycle (average cost with no add-ons)

Cost per cycle (excl. medication)

$7,890

Indication of an IVF cycle including medication

Average cost for medication

$2,000–$4,000 $9,890–$11,890

If IVF stopped before first blood test

$200

If IVF stopped before egg collection

$670

If no embryos transferred

$7,230

IVF Cycle – freeze all IVF cycle + freeze all embryos, includes 1 counselling consultation

$7,230

$2,000–$4,000

Frozen Embryo Transfer (FET) additional to cycle

$1,760

$0–$400

If stopped before embryos thawed

No Charge

$0–$50

If stopped because no embryos to transfer

$1,100

$0–$50

IVF Cycle – thaw

Additional Options

Additional to above

Assisted hatching for fresh embryos

$645

ICSI – Sperm microinjection – additional to IVF

$2,155

IMSI – High magnification form of Sperm Microinjection (ICSI)

$2,905

PGS – Pre Genetic Screening, includes: embryo biopsy, transport and testing.

Pricing does not include embryo transfer

$3,100

PICSI – Physiological Intra Cytoplasmic Sperm Injection with (HBA) Hyaluronan Binding Assay

$125

Assisted hatching for fresh embryos

$645

TiMI – Time Lapse Morphometry Imaging

$950

Fees can be found at your local clinic for: • IVF with in vitro maturation (IVM) • Sedation for IVF with anaesthetist • Pre-implantation Genetic Diagnosis (PGD)

Please refer to the “About Payment” section on the back page Cost per cycle (excl. medication)

Average cost for medication

Ovarian stimulation, egg collection and egg freezing

$6,950

$2,000–$4,000

Egg thawing, insemination and embryo transfer

$4,405

$0–$400

Fertility Preservation

International Patients and Non-residents: Non-residents overseas charge additional to IVF Cycle

$720

Non-residents overseas charge additional to IVF Cycle with French fertility interpreter

$1,010

At Fertility Associates your treatment will be coordinated by your fertility doctor who is supported by an experienced team of nurses, counsellors and scientists.

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treatment with donors (sperm or egg) Donor treatments involve using a Donors sperm, eggs or embryos.

IVF Treatment using a Clinic Sperm Donor

Please include the IVF Cycle costs on page 2

Cost per cycle

Plus Clinic Donor sperm with ICSI 2 Recipient counselling consultations required before treatment commences

$2,490 $310

IVF Treatment using a Personal Sperm Donor

Please include the IVF Cycle costs on page 2 and ICSI if required 2 Recipient counselling consultations required before treatment commences

$310

Preparation of a Personal Sperm Donor* Screening and lab work 2 x mandatory counselling appointments for your Donor Medical consultation for Donor Freezing is additional depending on quantity frozen Sperm storage (see Storage section)

$1,090 $310 $205–$275 $215 per sample (Additional)

IVF Treatment using a Clinic Egg Donor

Please include the IVF Cycle costs on page 2 Clinic Egg Donor treatment, including Donor screening medical consultation and advertising 2 Recipient counselling consultations required before treatment commences Average cost of medication for the Recipient

Cost per cycle

$4,015 $310 $0–$400

IVF Treatment using a Personal Egg Donor

Please include the IVF Cycle costs on page 2 Screening, preparation and coordination of Donor 2 Recipient counselling consultations and 1 joint counselling consultation 2 mandatory counselling consultations for Donor Medical consultation for Donor Average cost of medication for the Recipient

$2,205 $465 $310 $205–$275 $0–$400

Note: When using both Donor Egg and Donor Sperm together, Donor Embryo or Surrogacy an Ethical Application from ECART is required – please see the Ethical Application Price Sheet and talk to a Fertility Counsellor for price indications.

Please refer to the “About Payment” section on the back page

MEDICATIONS An individualised estimate of medication costs is provided at the beginning of each IVF-related treatment cycle.

Down Regulating Your Cycle/ LH Surge Protection • Buserelin • Orgalutran • Cetrotide

Stimulating Egg Production • Gonal F Injection Pen

Triggering Ovulation • Ovidrel Maintaining the Uterine Lining • Utrogestan Utrogestan – single sheet • Crinone • Luteal support package

$225 $130 per ampoule $175 per ampoule (on average 4-5 needed per cycle)

Recombinant LH (Luteinising Hormone) • Luveris

300 pen – $306 450 pen – $459 900 pen – $918

• Puregon Injection Pen

300 pen – $306 600 pen – $612 900 pen – $918

• Elonva

$1,735

$175 per ampoule $37 per 5 days $19 per sheet $345 per 15 days $175 $240 per injection

Please refer to the “About Payment” section on the back page

no returns: Medications can be costly, so we try to only issue what is needed until the next blood test. If you do have left over medications, we unfortunately cannot take these back, therefore they cannot be refunded.

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storage

Storage is invoiced every 6 months in advance.

Sperm, egg or embryo storage for 6 months Ovarian tissue storage for 6 months Refund for each month of unused storage after all sperm or embryos thawed Ten year storage with 10 years pre-paid Refund for 10 year storage pre-paid package Transport sperm or embryos within NZ Transporting sperm or embryos outside NZ

$

$132 $264 $22 a month $1,550 Ask your clinic $175 + courier fees $240 + courier fees

about payment Consultation, Pre-Treatment and Storage · All consultations to be paid on the day of appointment. · All pre-treatment and storage to be paid within 14 days of invoice.

NON-IVF TREATMENTS • Treatment cycles are invoiced on Day 1 of treatment and the account is to be settled prior to insemination (IUI) or scan (Clomiphene).

• IUI – if cycle stopped prior to insemination you will only be charged for medication received.

• Ovulation with gonadotrophins – there is no cost reduction if low response during treatment.

IVF Treatment IVF Treatment cycles are invoiced on the first day of treatment.

For your convenience we have three ways in which you can pay for your IVF treatment. These are:

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Split Payment You pay $8,000 at the time you pick up your medications. The balance is due on the day of your trigger injection.

2

Advance Payment At the start of your cycle, we will send you an estimate of your treatment costs. You pay this at the time you pick up your medications. At the end of your cycle we refund any overpayment, or send you an invoice for any additional costs.

We expect 80% of people will receive refunds.

Advance payment includes a $100 fee reduction as a thank you for using this option.

3

fertility Cover™ You pay a single upfront fee covering up to three cycles of IVF over an 18 month period.

If treatment does not result in a live birth after the three cycles, you will receive a 70% refund. Please contact your clinic for further information regarding this option or visit www. fertilitycover.co.nz before starting treatment.

egg donors • Donor egg Recipients must make payment at the time Donor collects medication. frozen embryos • Payment is due before the day of embryo transfer.

Medications • Medications are to be paid for at the time of pickup from the clinic, or before medications are couriered.

• Payment for IVF medications are covered in the payment options above. We issue sufficient medications to take you to your first blood test and scan.

• Further medications are issued as they are needed. notes About payment • P rices are in NZ dollars and include GST. Prices may be subject to change without further notice.

• P ayment can be made by cash, cheque, direct debit or credit card.

• The chance of pregnancy is dependent on many factors, as explained in our Pathway to a Child magazine – there is no refund if you do not become pregnant, unless you are paying under our ‘Fertility Cover’ option (see above).

•U nused medications cannot be refunded once they have been issued to you.

0800 10 28 28 fertilityassociates.co.nz REF 3186.14 – 09/15

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