PRICELIST FOR TREATMENTS - National Women's Health

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PRICELIST FOR TREATMENTS - National Women's Health
PRICELIST FOR TREATMENTS

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PRICELIST FOR TREATMENTS - National Women's Health
DISTRICT HEALTH BOARD STAFF FERTILITY BENEFIT:                                  CANCELLATION/ REFUND POLICY:
Fertility Plus offers staff working at any of the northernregion DHBs a         • If your IVF, FET or IUI cycle gets cancelled
10% discount on appointments and treatments (IVF,IUI and FET), excluding           you may be eligible for a partial refund
medication charges. This is inclusive of ADHB, CMDHB, WDHB, NDHB and also          (see page 14 for details).
includes St John Ambulance Staff.                                               • Drugs, scans, blood tests and booking fees
FIT:                                                                               are not refundable.
THINGS TO NOTE ABOUT BILLING AND PAYMENTS:                                      • Unused medication cannot be refunded
• A cost estimate for your cycle will be prepared at the time of cycle             once been issued.
     planning.                                                                  • If your ovulation induction cycle with
• Invoices will be sent in the first week of treatment.                            Letrozole or Clomiphene is unsuccessful
• Payment for the treatment is required in full by the day of trigger for IUI      there is no refund.
     and IVF cycles, and by the day of embryo thawing for FET cycles.
• Treatment will not proceed if the payment has not been made.
• Subsequent cycles including frozen transfers will not be commenced if
     there is an outstanding balance.
• Medication is required to be paid at the clinic when picking up the
     prescription.
• Prices may be subject to change without notice.
• All appointments are to be paid on the day of the appointment.
• The chance of pregnancy depends on many factors; there are no refunds if
     you do not become pregnant.
• Please ensure that your contact information is up to date as your invoices
     will be emailed or posted to you.

HOW TO MAKE A PAYMENT:
• Payment methods: Cash, EFTPOS, online banking, credit card.
• Prices are in NZ dollars and include GST.
• Online payment details:                                                        CONTACT INFO:
  • Remit to: Auckland District Health Board
  • Bank: BNZ Account Number: 02-0500-0416029-00
  • Particulars: enter your NHI
                                                                                 For further information regarding costs, refunds and payment plans
  • Reference: enter the invoice number                                          contact the Accounts Coordinator at:
                                                                                 VandnaO@adhb.govt.nz
PAYMENT PLANS:                                                                   or call 09 6309810 ext: 26794 Monday – Friday.
• We offer personalised, interest free payment plans.
                                                                                 ADHB is using a 3rd party (HealthSource) for their Accounts
                                                                                 Receivables.

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PRICELIST FOR TREATMENTS - National Women's Health
At Fertility Plus, we work with you                                                      At your first visit at Fertility Plus you’ll meet with the
  to deliver a personalised treatment                                                      doctor who will walk you through your fertility options
  plan based on your diagnosis and best                                                    and plan your personalised fertility plan.
  treatment options while honouring
  your individual values.

                                                                                      CONSULTATION                                                          COST

                                                                                      First Doctor Consultation to discuss diagnosis and treatment
                                                                                      options (45 mins)                                                    $195
WHAT MAKES US DIFFERENT?
Fertility Plus has been leading IVF treatment in New Zealand                          Follow-up Doctor Consultation (30 mins)                              $140
for more than 35 years. We provide a comprehensive range of
fertility investigations and treatments, and have helped thousands of people          Counselling Consultation when not included in a treatment cycle      $140
fulfil their hopes of starting a family.                                              (60 mins)
• We offer both publicly funded and private fertility treatment.
• We focus on the individual delivering the latest, evidence-based treatment           You may be advised to have pre-treatment tests for fertility
     care options.                                                                     investigation purposes.
• A part of the Auckland District Health Board, you’ll have access to the best
     specialist and expertise available.                                              PRE-TREATMENTS
• Our fertility services are integrated with general gynaecology, maternity           Ultrasound scan - when not part of a cycle                           $150
     and medical services at Auckland City Hospital, ensuring we can support
     all aspects of your fertility treatment and on-going care.                       Genetic Carrier Screening. Testing for: Cystic fibrosis, Fragile X
                                                                                                                                                           $585
                                                                                      Syndrome and Spinal Muscular Atrophy (SMA)
HOW MUCH DOES TREATMENT COST?
We tailor your treatment plan to your needs and estimated costs are discussed         First semen analysis, includes antibody screening                    $210
in a consultation with one of our fertility specialists. This brochure outlines the
costs for:                                                                            Repeat semen analysis                                                $150
• Consultations
• Investigations                                                                      Trial semen wash - after full semen analysis has already been
• Fertility Treatments                                                                                                                                     $280
                                                                                      completed. Not on first semen analysis
• Medications
                                                                                      Sperm freezing                                                       $250

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                                          your fertility pathway.                     Sperm Chromatin Structure Assay (SCSA) test                          $380
                                                                                      • Including semen analysis and shipping

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PRICELIST FOR TREATMENTS - National Women's Health
Monitored Ovulation Induction                                                    IUI - Intrauterine Insemination
   (Tracked Cycles)
                                                                                    IUI is a fertility treatment that aims to increase the number of
   Tracked cycles help indicate when your                                           sperm that reach the fallopian tubes and subsequently increase
   most fertile time is and stimulate the                                           the chance of fertilisation.
   ovaries.

                                                                                                                                      TREATMENT    ESTIMATED
                                                        TREATMENT    ESTIMATED                                                             COST   MEDICATION
                                                             COST   MEDICATION                                                                         COSTS
                                                                         COSTS
Tracked Cycle - a fully monitored natural cycle using                            INTRAUTERINE INSEMINATION (IUI) - WITH
blood tests and ultrasound of the ovaries to detect        $420                  PARTNER SPERM
ovulation                                                                        Includes:
                                                                                 • Monitoring with blood tests and ultrasound scans     $1,350        $25 -
3 x Letrozole Cycle Package - a three-month package                                   (if applicable)                                                 $350
using Letrozole to stimulate ovulation                                           • Intrauterine Insemination
• Monitoring of your blood test results and
                                                           $485          $25
     feedback will be provided                                                   4 X CYCLES INTRAUTERINE INSEMINATION (IUI) -
• One review appointment is included if your                                     WITH PARTNER SPERM
     treatment is not successful                                                 Includes:
                                                                                 • Monitoring with blood tests and ultrasound scans    $4,000         $25 -
Letrozole Cycle - a single treatment using Letrozole                                  (if applicable)                                                 $350
to stimulate ovulation                                      $180         $25     •    Intrauterine Insemination                                        PER
• Monitoring of your blood test results and                                      • One counselling appointment after completion of                   CYCLE
    feedback will be provided                                                        all the cycles

Clomiphene - ovarian stimulation using Clomiphene,                               DONOR INSEMINATION (DI) - WITH FERTILITY PLUS
                                                           $420          $25
tracked with blood tests and ultrasound (if needed)                              SPERM DONOR:
                                                                                 • Monitoring with blood tests and ultrasound scans
Follicle Stimulating Hormone (FSH) - ovarian
                                                                                    (if applicable)                                    $1,800         $25 -
stimulation using injectable FSH
                                                           $850     $1,500 -     • Intrauterine Insemination                                          $350
• Monitored stimulated cycle using blood tests and
                                                                     $3,000      • Two counselling sessions are required
     ultrasound of the ovaries to detect ovulation
                                                                                 (Not included in treatment price (2 x $140)

              No refunds are available for the cycles above.

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PRICELIST FOR TREATMENTS - National Women's Health
IUI - Intrauterine Insemination                       In Vitro Fertilisation (IVF) Treatments

                            IUI is a fertility treatment that aims to             In vitro fertilisation (IVF) is a process of fertilisation where
                            increase the number of sperm that reach               mature eggs are combined with sperm at the lab. IVF is used to
                            the fallopian tubes and subsequently                  help with fertility or prevent genetic problems and assist with
                            increase the chance of fertilisation.                 the conception of a child.

                                                                                                                                   TREATMENT    ESTIMATED
                                                     TREATMENT    ESTIMATED   IVF CYCLE                                                 COST   MEDICATION
                                                          COST   MEDICATION
                                                                      COSTS
                                                                              Includes:                                                             COSTS
4 X DONOR INSEMINATION (DI) - WITH FERTILITY                                  • Monitoring with scans and blood tests
PLUS SPERM DONOR:                                                             • Egg collection, including deep sedation with
• Monitoring with blood tests and ultrasound scans                                anaesthetist
    (if applicable)                                                           • Sperm preparation and fertilisation of the
                                                                     $25 -
• Intrauterine Insemination                           $5,600                      eggs
                                                                     $350                                                                      $1,000 -
• Two counselling sessions per cycle are required                             • Embryo culture                                       $7,995
(Not included in treatment price (2 x $140)                                                                                                     $6,000
                                                                              • One fresh embryo transfer and embryo
                                                                                  feezing (if applicable)
DONOR INSEMINATION (DI) - WITH PERSONAL                                       • Early pregnancy monitoring up to 7 weeks,
DONOR SPERM:                                                                      or a follow-up consultation with the doctor if
                                                                     $25 -
• Monitoring with ultrasound scans and blood tests     $1,350                     negative outcome
                                                                     $350
• Intrauterine Insemination                                                   • Two counselling sessions (optional)

                                                                              IVF CYCLE - EMBRYO FREEZE ALL
PREPARATION OF PERSONAL DONOR SPERM                                           Includes:
This applies both to IVF and donor cycles                                     • Monitoring with scans and blood tests                          $2,000 -
Includes:                                                                     • Egg collection                                       $6,995
                                                       $1,330                                                                                   $6,000
• Virology screening                                                          • Sperm preparation and fertilisation of the eggs
• First semen freeze                                                          • Embryo culture and embryo freezing
• Counselling

                                                                              IVF CYCLE - EGG FREEZING
                                                                              Includes:
                                                                              • Monitoring with scans and blood tests                          $2,000 -
                                                                                                                                     $6,895
                                                                              • Egg collection and egg freezing                                 $6,000

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PRICELIST FOR TREATMENTS - National Women's Health
ADDITIONAL IVF ITEMS & LAB PROCEDURES                                         COST                               Third Party Treatments
ICSI - Intra-Cytoplasmic Sperm Injection, sperm microinjection             $2,100
                                                                                                                     DONOR EGG ADDITION                             COST
Eggs or embryo vitrification                                               $1,000                                    Includes:
                                                                                                                         Cycle co-ordination and monitoring
Egg collection in full operating theatre                                                                                 Screening blood tests (does not         $3,100
                                                                           (POA)
                                                                                                                         include FET cycle)
PGT-A genetic testing per embryo for 1st, 2nd and 3rd embryo              $1,400
                                                                                                                 DONOR EGG WORK UP
PGT-A genetic testing per embryo for 4th embryo onwards                     $800                                 Includes:                                      SEE PG 3
                                                                                                                 • Two medical consultations			                     FOR
PGT-M and PGT-SR genetic testing                                           (POA)                                      (one for recipient and one for donor)      PRICES
                                                                                                                 • Up to three counselling sessions
HCG infusion                                                                $300
                                                                                     DONOR EGG REIMBURSEMENT- CHARGE BILLED TO ALL
Annual cryo-storage for frozen sperm, embryos or oocytes                    $264     RECIPENTS                                                                   $1,500
                                                                                     • Reimbursed to egg donors as petrol vouchers
SPERM COSTS
Testicular surgery for sperm retrieval: specialist urologist               $1,750    DONOR SPERM ADDITION IN IVF                                                   $400

Testicular surgery for sperm retrieval: routine                            $1,050    SURROGACY WORK UP - CHARGE WORK UP OF POTENTIAL
                                                                                     SURROGATE
Sperm collection device                                                       $25
                                                                                     Includes:
                                                                                     • Screening tests and co-ordination with nurses			                          $1,050
  Egg Thawing & Embryo Transfer                                                           This is separate to ECART application which holds all
                                                                                          counselling and medical interviews
FROZEN EGG THAWING CYCLE WITH ICSI                     TREATMENT         ESTIMATED
Includes:                                                   COST        MEDICATION
• Monitoring with ultrasound scans and blood tests
                                                                             COSTS   SURROGACY - FET CO-ORDINATION OF MULTIPLE PARTIES                             $250
• Egg thawing
• Sperm preparation and fertilisation of the eggs                                    ECART APPLICATION - SURROGACY AND EMBRYO DONATION
     with ICSI                                                                       Includes:
• Embryo culture                                                            $25 -    • All preparation and submission of required documentation                  $2,600
                                                         $4,000                           to ECART
• Embryo transfer                                                           $350
• Two counselling sessions (optional)                                                • All appointments with a counsellor and consultant
• Early pregnancy monitoring until up to 7 weeks, or a
    follow-up consultation with the doctor if negative                               This does not include the costs for legal advice and reports. This will be discussed
    outcome                                                                          during your initial counselling appointment.

FROZEN EMBRYO TRANSFER (FET) CYCLE
Includes:
                                                                            $25 -
• Monitoring with ultrasound scans and blood tests             $1,620
                                                                            $350
• Embryo thaw and culture
• Embryo transfer

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PRICELIST FOR TREATMENTS - National Women's Health
Medication
    Miscellaneous Charges
                                                                                      The duration and dose of the medications will vary according to
                                                                                      your cycle plan.

                                                                                                                                                    COST
                                                                                  DOWN REGULATION PER LH SURGE PROTECTION
                                                                                  Buserelin                                                        $250
EARLY PREGNANCY MONITORING                                                 COST
Includes:                                                                         Orgalutran                                                        $125
• Blood monitoring and early and pregnancy scan                           $350
                                                                                  STIMULATING EGG PRODUCTION
•   Prescription charge                                                    $25
                                                                                  Gonal 300                                                        $350
INTERPRETER                                                                       Gonal 450                                                        $525
• Face to face or phone                                             $80 / HOUR
                                                                                  Gonal 900                                                      $1,050
•    Overseas co-ordination charge                                 $750 / CYCLE
                                                                                  Puregon 300                                                      $350
•   Administration fee for transporting frozen gametes to or                      Puregon 600                                                      $700
                                                                          $175
    from another clinic in New Zealand
                                                                                  Puregon 900                                                    $1,050
•    Administration fee for transporting frozen gametes to
                                                                         $200     Elonva 100per150                                        $1,500 / 7-DAY
     another clinic outside New Zealand (excludes courier costs)
                                                                                  Menopur                                                     $65 / VIAL

                                                                                  TRIGGERING OVULATION
                                                                                  Ovidrel                                                           $195
                                                                                  Decapeptyl (2 syringes)                                          $150

                                                                                  MAINTAINING THE UTERINE LINING (LUTEAL PHASE SUPPORT)
                                                                                  Crinone                                               $25 / DAY

                                                                                  Utrogestan                                                   $35 / BOX

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PRICELIST FOR TREATMENTS - National Women's Health
Refunds

                            No refunds on consultations,
                            pre-treatments, monitored ovulation
                            Induction (Tracked Cycles), Third
                            Party Treatments, medication.

CHARGES FOR CANCELLED IUI CYCLES BY PATIENTS –        CHARGED AMOUNT     IVF CYCLE REFUND FOR CANCELLED OR INCOMPLETE                  REFUND AMOUNT
IF NOT MEDICALLY INDICATED                                               CYCLES

Booking fee                                                       $150   When IVF cycle is stopped before the first blood test               $7,695

                                                                         When IVF cycle is stopped before the egg collection                $6,995
REFUND FOR UNUSED 4 X IUI CYCLES WITH PARTNER          REFUND AMOUNT
SPERM
                                                                         If there are no eggs at egg collection (OPU)                        $1,200
If only 1 cycle is used                                      $2,650
                                                                         If there are no embryos to transfer per freeze all                  $1,000
If only 2 cycles are used                                    $1,400
                                                                         CHARGE FOR CANCELLED OR INCOMPLETE FET CYCLES                CHARGED AMOUNT
If only 3 cycles are used                                         $800
                                                                         Booking fee                                                           $150

REFUND FOR UNUSED 4 X IUI CYCLES WITH FERTILITY        REFUND AMOUNT
                                                                         Ultrasound scan                                              $100 PER SCAN
PLUS SPERM DONOR

If only 1 cycle is used                                      $3,800
                                                                         STORAGE                                                       REFUND AMOUNT

If only 2 cycles are used                                    $2,200
                                                                         If you wish to discard or use your frozen gametes, we will         UNUSED
If only 3 cycles are used                                                refund the unused months of storage when we receive the         MONTHS OF
                                                             $1,200
                                                                         valid discard forms or when your treatment is completed           STORAGE

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PRICELIST FOR TREATMENTS - National Women's Health
The National Women’s Health
website has good, accurate and
up to date information which
you may find helpful.

Telephone: 09 630 9810
Email: fertplus@adhb.govt.nz

    FOR FURTHER INFORMATION, PLEASE VISIT OUR
                    WEBSITE:

                www.fertilityplus.co.nz

           OR FOLLOW THE QR CODE BELOW:

                Fee schedule as of 1st July 2021

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