Three Cycle Option

The three-cycle option of the Shared Risk Refund Plan includes as many as three fresh IVF cycles and additional frozen embryo cycles over a 12-month period to achieve a live birth. The Plan is considered successful if it results in a live birth. 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 three-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 three-cycle Shared Risk Refund Plan:

FEMALE REQUIREMENTS

Female partner must complete her cycles before her 36th birthday.
The female partner must have normal ovarian reserve defined as:
All FSH levels must be less than 14.
FSH levels on Day 2 or Day 3 and Day 10 of less than 14.0 miu/mL with estradiol <100 on Day 2 or Day 3 with Clomiphene Challenge Test less than 24.0. (Note: D3 and D10 bloodwork must be performed in our laboratory).
Female must have a BMI less than ≤ 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 6 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 ≥ 30 and two ovaries or at least six mature eggs at retrieval if age is < 30 and/or one ovary.

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, testosterone levels).
Other tests may be requested 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.

CYCLE CRITERIA

Endometrium should be at least 0.8 cm thickness, triple layer.
If >37 must have eight follicles between 14 - 18 mm on day of HCG and estradiol ≥ 1500 pg/mL. If you do not meet these criteria, the couple will no longer qualify for the Shared Risk Refund Plan. However, if you have ≥ 4 follicles and estradiol of > 1000 pg/mL, the couple has the option of completing the cycle with a 65% return of fees or they may cancel the cycle and perform an IUI if indicated.
If > 37, must accept PGD (preimplantation genetic diagnosis) for evaluation of normalcy of embryos, if recommended.

The Plan usually takes no longer than nine months and must be completed within 12 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

Three-Cycle Option

Female Requirements	Male Requirements	Price	Refund
Age ≤ 35 with no severe male factor	Sperm available for ICSI	$17,500	$10,500

Shared Risk participants that are > 37 that have not obtained an ongoing pregnancy in one cycle may be required to have PGD.

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.

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 $3000. 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.

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 nine (9) months and must be completed within twelve (12) 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.

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.