In order to be eligible for the IVF Assist Money-Back Guarantee Plan, a participant must meet all the requirements of our regular fee-for-service IVF program and must not have had a prior unsuccessful IVF cycle. Eligibility may be considered on a case-by-case basis if a prior unsuccessful IVF cycle is thought to have been due to a potentially correctable condition such as polyps, fibroids or uncorrected hydrosalpinges. Additionally, the participant must not have insurance coverage for in vitro fertilization.

The following criteria must be met in order to participate in the IVF Assist Money-Back Guarantee Plan:

• Female partner must complete her cycles before her 35th birthday.
• The female partner must have an FSH level on Day 2 or Day 3 < 10 with Estradiol < 60pg/mL. (Blood work must be performed in our laboratory.)
• Female must have a BMI > 19 and < 27.
• Normal uterine cavity and no hydrosalpinges. (If present, they must be removed or the fallopian tubes ligated prior to acceptance into the program.)
• No contraindication to IVF treatment or pregnancy.
• Female must have no history of > 1 miscarriage.
• To remain eligible in the program the female 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 < 30 and or one ovary.

• Male partner must be < 55 years of age.
• Sperm parameters must be adequate for ICSI with at least 100,000 sperm per ejaculate.
• Males are eligible following PESA/TESA if they had a prior vasectomy.

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

• Endometrium must be at least 0.8 cm thickness, triple layer.
• Must have four follicles between 14-18 mm on day of HCG and estradiol >= 1,000pg/mL.
• To remain eligible in the program the female 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 < 30 and or one ovary.

The Plan usually takes no longer than 9 months and must be completed within 12 months following the first egg retrieval. Each IVF cycle corresponds to an ovarian stimulation treatment, followed by aspiration of eggs under intravenous conscious sedation (IVCS) provided by an anesthesiologist (fee for CRNA not included), and their fertilization in the embryology laboratory followed by the transfer of one or two fertilized eggs or embryos, if any. If pregnancy is not achieved, the couple will meet with the physician to discuss a "frozen" embryo transfer or a repeat IVF cycle, if applicable, after all frozen embryos if any, have been transferred, unless < 2 embryos remain.

Services

• Cycle monitoring, if performed in one of our offices
• Egg retrieval
• Fertilization
• ICSI
• Assisted Embryo Hatching (if required)
• Transfer (Frozen embryo transfer if embryos cryopreserved)
• Cryopreservation and storage of embryos deemed suitable for freezing for up to six months after retrieval in our facility

Exclusions

• Initial office visit and all subsequent office consultations
• Prescreening tests (laboratory blood work, HSG, US, semen analysis)
• Medications
• Cycle monitoring, if performed in other than one of our offices
• Interim procedures (office hysteroscopy, endometrial biopsy, if indicated)
• Hospitalizations/complications
• Anesthesia (CRNA) fees
• Male services/facility cost should PESA/TESA be indicated
• Embryo storage beyond six months
• Frozen Embryo Transfer cycles following pregnancy success should frozen embryos remain
• Pregnancy testing and early pregnancy ultrasound monitoring
• Sperm freezing for cycle, if indicated
• PGD/PGS testing, if indicated

Most insurance companies cover the costs for screening and care unrelated to infertility treatment.

The IVF Assist Money-Back Guarantee Plan consists of a refundable and non-refundable portion should success not be attained. The refundable portion of the Plan fee will be held in the participant’s account with the Fertility Centers of New England (FCNE). Upon confirmation of pregnancy proceeding to a live birth, FCNE will apply the entire refundable portion. If, after up to three completed IVF cycles, no pregnancy has proceeded to a live birth and all available embryos have been transferred, the refundable portion will be returned to the participant. A refund will not be given for an electively terminated pregnancy. After each completed IVF cycle, the participant and physician meet and determine together the appropriateness of proceeding with a repeat attempt. In other words, both FCNE and the couple retain the right to terminate the Plan at any time following the transfer of all available embryos.

FCNE reserves the right to disqualify a patient based on previous poor response. The plan usually takes no longer than nine (9) months and must be completed within twelve (12) months and prior to the female’s 35th birthday and the male’s 55th birthday. Each IVF cycle corresponds to an ovarian stimulation treatment followed by aspiration of the eggs, their fertilization in the embryology laboratory followed by transfer of 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 fresh IVF cycle after all frozen embryos if any, have been transferred unless < 2 embryos remain.

Additional testing may be required prior to recycling if results of cycle suggest other factors may be impairing IVF success, which are not included in the Plan.

The Plan does not cover the cost of procedures not involving the IVF as defined above or contracted services. Such additional costs may include, but are not limited to hospital and physician fees associated radiology expenses, laboratories, surgery required to evaluate or treat the uterus, ovaries, fallopian tubes and complications resulting from treatment of pregnancy. Also excluded from the Plan are the costs of CRNA services for intravenous conscious sedation (IVCS).

The IVF Assist Money-Back Guarantee Plan costs $24,000. Should a successful pregnancy (defined as a live birth) not be attained following 3 fresh IVF attempts and all frozen embryo transfers, if any, then 70% or $16,800 will be refunded to the patient with 30%, $7,200 retained by FCNE for administrative program costs. A refund will not be given for an electively terminated pregnancy.

If you are interested in this Plan and meet the above criteria, notify our office and request a medical consult. A financial consult at no charge is also necessary for eligibility before your cycle starts. 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.

Most patients who do not achieve a successful pregnancy following their first cycle will be recommended to proceed with a repeat attempt. The main reasons not to do so would include inadequate ovarian response, inadequate egg quality, inadequate embryo quality, psychological contraindications, medical contraindications or poor patient compliance.

Fertility Centers of New England retains the right to terminate a patient’s participation after each completed cycle. If no pregnancy occurs and FCNE elects to terminate the IVF Assist Money-Back Guarantee Plan, FCNE will refund the sum paid minus the fee-for-service payment up to that time plus a $2,000 administration fee. If FCNE terminates the cycle before egg retrieval, FCNE will refund the sum paid minus the fee-for-service payment up to that time plus a $2,000 administration fee. Similarly, if the patient elects to terminate participation without completing all cycles, the patient will be charged the fee-for-service price for all services performed plus a $2,000 administration fee.