Two Cycle Option

The two-cycle option of the Shared Risk Refund Plan includes as many as two fresh IVF cycles and additional frozen embryo cycles over an 12-month period to achieve a live birth. The Plan is considered successful if a live birth occurs. A completed IVF cycle is defined by the retrieval of all available eggs followed by transfer of all embryos (fresh or frozen), if any.

Please keep in mind that prices are subject to change so please contact the ART Fertility Program for current fees.

PLAN ELIGIBILITY

In order to be eligible for the Shared Risk Refund Plan, a couple must meet all the requirements of our regular fee-for-services IVF program and must have undergone no more than one previous unsuccessful IVF cycle for the two-cycle option. Additionally, the couple must not have insurance coverage for in vitro fertilization. The following is the criteria that each participant must meet in order to participate in the two-cycle Shared Risk Refund Plan:

FEMALE REQUIREMENTS

  • Female partner must complete her cycles before her 35th birthday.
  • The female partner must have normal ovarian reserve defined as:  FSH levels on Day 2 or Day 3 and Day 10 less than 14.0 miU/mL with estradiol < 100 on Day 2 or Day 3 with Clomiphene Challenge Test < 24.0. (NOTE: D3 and D10 bloodwork must be performed in our laboratory).
  • Female must have a BMI ≤ 30 at the time of cycle.
  • Must have antral count of ≥ 12.
  • Must have normal day 3 Inhibin-B.
  • Normal uterine cavity on Sonar Insufflation Study (SIS) within six months.
  • No contraindication to IVF treatment and/or pregnancy.
  • Absence of hydrosalpinges; must be removed prior to CCT or agree to remove after first cycle if no pregnancy.
  • Female must have no history of > 2 miscarriages.
  • Must have at least eight mature eggs at retrieval if age is ≥ 30 and two ovaries or at least six mature eggs at retrieval if age is < 30 and/or one ovary.

Note: At the Plan’s discretion, patients < 34 years old may be approved for the three-cycle Shared Risk Refund Plan if one or more of the above criteria are not met.

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MALE REQUIREMENTS

  • Male partner must be 55 years of age or younger.
  • If low sperm parameters, sperm must be adequate for ICSI.
  • Males are eligible if TESA is indicated (must have normal FSH, LH and testosterone levels).
  • If history of Kruger morphology ≤ 3, must do three-cycle shared risk.
  • Other tests may be required if indicated.

COUPLE REQUIREMENTS

  • Must be non-smokers.
  • Must inseminate all eggs.
  • Must accept embryo cryopreservation.
  • Must agree to/accept embryo transfer recommendation of the Plan, based on ASRM guidelines.

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CYCLE CRITERIA

  • Endometrium should be at least 0.8 cm thickness, triple layer.
  • Must have four follicles between 14 - 18 mm on day of HCG and estradiol ≥ 1000 pg/mL.

The Plan usually takes no longer than six months and must be completed within eight months. Each IVF cycle corresponds to an ovarian stimulation treatment followed by the non-surgical aspiration of the eggs, their fertilization in the embryology lab followed by the transfer of all fertilized eggs or embryos, (if any). If pregnancy is not achieved, the couple will meet with the physician to discuss a “frozen” embryo transfer (if applicable), or a repeat IVF cycle (after all frozen embryos if any, have been transferred) unless ≤ 2 blastocysts remain.  

PLAN COSTS

Two-Cycle Option

Female Requirements Male Requirements Price Refund
Cycles must be completed prior to 35th birthday. Sperm available for ICSI $13,250 $8,000

If you are interested in this Plan and meet the above criteria, you must notify our office and request a financial consult at no charge before your cycle starts to be eligible. Additional costs may be incurred based on additional parameters. Prices are subject to change without notice; however, your price will not change once your fee is paid.

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The following is a list of inclusions and exclusions of the Plan:

Services Include

  • Retrieval
  • Fertilization
  • ICSI
  • Assisted Embryo Hatching
  • Transfer (FET if embryos cryopreserved)
  • Cryopreservation storage of cryopreserved embryos at ART for up to 12 months after retrieval  

Exclusions

  • Initial office visit (consultation, physical exam, semen analysis, SIS)
  • Prescreening (laboratory- infection screens and cryo screens)
  • Monitoring
  • Medication
  • Non-ART consultations
  • Hospitalizations/complications
  • Male services/facility cost (e.g. SPA, SCSA,TESA, PESA)
  • Embryo storage beyond the first year
  • Pregnancy testing
  • Sperm freezing for cycle
  • PGD testing  

Many insurance companies may cover the costs of screening, monitoring and medications. However, if you do not have insurance coverage for these services, a separate monitoring package may be purchased for $2500. This will cover your monitoring from the suppression check to your first pregnancy test for all cycles in the Shared Risk Refund Plan. This amount is non-refundable.  

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PLAN TERMS

The Plan fee consists of a non-refundable and a refundable portion. The refundable portion of the Plan fee will be held in the couple’s account with the ART Fertility Program. Upon confirmation of a live birth, ART will apply the entire refundable portion 60-90 days following the live birth. If, after up to two or three completed IVF cycles no pregnancy has resulted (and all available embryos have been transferred), the refundable portion will be returned to the couple. After each completed IVF cycle, the couple and physician meet and determine together the appropriateness of proceeding with a repeat attempt. In other words, both ART and the couple retain the right to terminate the Plan at any time (again, following the transfer of all available embryos) for any reason without any penalty.

ART reserves the right to disqualify a patient based on previous poor endometrial stimulation. The Plan usually takes no longer than six (6) months and must be completed within eight (8) months. Each IVF cycle corresponds to an ovarian stimulation treatment followed by the non-surgical aspiration of the eggs, their fertilization in the embryology lab followed by the transfer of all fertilized eggs or embryos, (if any) to the recipient. If pregnancy is not achieved, the couple will meet with the physician to discuss a “frozen” embryo transfer (if applicable), or a repeat IVF cycle (after all frozen embryos if any, have been transferred) unless ≤ 2 blastocysts remain. The physician may require additional testing, if results of cycle suggest other factors that may be impairing IVF success.

The Plan does not cover the cost of procedures not performed at ART facilities or contracted services. Such additional costs may include, but are not limited to, hospital and physician fees associated with x-rays, surgery required to evaluate or treat the uterus and complications resulting from treatment of pregnancy. Also excluded from the SRP are the costs of fertility drugs as well as that of the monitoring of the patient’s response to ovarian stimulation.

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PLAN TERMINATION

Most patients who do not achieve a live birth on their first cycle will be recommended to proceed with a repeat attempt (depending on which option you choose). The main reason not to do so would include inadequate ovarian response, inadequate egg quality, inadequate embryo quality, psychological contraindications, medical contraindications or poor patient compliance.

The ART Fertility Program retains the right to terminate a patient’s participation after each completed cycle. If no pregnancy occurs and ART Fertility Program elects to terminate the Shared Risk Refund Plan, the ART Fertility Program will refund the sum paid minus the fee-for-service payment at that time. If the ART Fertility Program terminates the cycle before egg retrieval, the ART Fertility Program will refund all costs. Likewise, if the patient chooses to terminate participation without completing all cycles, the patient will be charged the fee-for-service price for all services performed.

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