PRICELIST FOR TREATMENTS - National Women's Health
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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. 2 3
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 Talk to usTalk todayto tous discuss todayyour to fertility discusspathway. your fertility pathway. Sperm Chromatin Structure Assay (SCSA) test $380 • Including semen analysis and shipping 4 5
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. 6 7
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 8 9
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 10 11
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 12 13
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 14 15
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 16
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