Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
Price List(Effective 8th February 2016)
www.fertilityclinic.ie
Galway Fertility Clinic, Galway West Business Park, Rahoon, Galway.Telephone: 00 353(0)91 515600 | Fax: 00 353(0)91 515280
Email: [email protected]
Payment Terms and Conditions
• Accepted methods of payment are as follows:
Debit Visa Card up to €1500;
Cash; Cheques / Bank Drafts/ Postal Orders made payable to Galway Fertility Clinic.
Credit Cards are accepted but these incur a 2% supplementary charge, to cover chargeslevied by the processing bank (please notify your bank in advance of using this methodof payment).
• Fertility treatment costs are not normally covered under private medical insurance(e.g. VHI. etc) or by the HSE. Please check with your insurance provider for clarification.
• Costs may be claimed against Income Tax at the end of each financial year using MED.1 Formwith your receipts. You can download these forms from www.revenue.ie
• All treatment cycles for IVF / ICSI and FER must be paid for in full prior to each treatment.
• GFC Bank Transfer Details:Bank Name - AIB, University Branch, Newcastle Road, GalwayBIC/Swift code: AIBKIE2DIBAN Code:IE38AIBK93743610652045Payment Reference: Patient Name and IV Number (available from the clinic)
QF-
031
Rev
12
No Hidden Costs for IVF Treatment - Embryoscope® and Blastocyst Culture included in all IVF Cyclesgiving you the best chance of success, saving you up to €1500.
www.fertilityclinic.ie
IVF Related Costs
Procedure Cost Cost after ReducedMed1form Rate*tax rebate
In-Vitro Fertilisation (IVF) €4,750 €3,800 €3,600*
Intracytoplasmic Sperm Injection (ICSI) €4,750 €3,800 €3,600*
Blastocyst Culture Included in cycle cost
Embryoscope® Included in cycle cost
Vitrolife Embryoglue® Included in cycle cost
Assisted Hatching Included in cycle cost
Review with consultant post cycle (within 6 months) Included in cycle cost
This fee includes all Ultrasound scans, blood tests, Egg Collection, Embryo Culture in the
Embryoscope®, Blastocyst Culture, Assisted Hatching, Embryo Transfer and Pregnancy Test.
(Additional fees are applied for Early Pregnancy Ultrasound Scans and Cryopreservation)
Cancellation of Cycle:
In the event of a cancellation of your cycle, the next cycle will be charged as follows:
Cancelled prior to Starting Injections €500
Cancelled prior to Egg Collection €1,500
Cancelled following Egg Collection (No Eggs Collected) €2,500
Cancelled prior to Embryo Transfer €3,300
Frozen Embryo Replacement
Frozen Embryo Replacement (FER) €1,500
Embryo Cryopreservation (if required) €800
Annual Cryopreservation Maintenance & Administration €300
Embryology/Laboratory Fees
Semen Analysis €100
Repeat Semen Analysis €100
Sperm DNA Fragmentation Test €350
Testicular Biopsy (excludes cryopreservation) €500
Semen Cryopreservation €300
Donor Sperm (per straw used) €400
Donor Sperm Allocation (fees vary depending on profile) from €300
Ovulation Induction/IUI Treatments
Procedure Cost Reduced Rate*
Ovulation Induction Cycles (TSI) €350 €200*
Artificial Insemination (AIH) €350 €200*
Intrauterine Insemination (IUI) (Partner) €750 €500*
Intrauterine Insemination (IUI) (Donor Sperm) €1,150 €800*
Cancelled Treatment Cycle €200 €100*
Tests/Procedures Cost
AMH Test €100
EU Bioscreen Blood Test (per person) €100
Progesterone (P4) Blood Test €50
Pregnancy (HCG) Blood Test €50
Hormone Profile / Thyroid Function Test €50
Rubella €50
Endometrial Scratch €150
Hydrotubation €200
Cyst Aspiration (includes laboratory analysis if needed) €300
Early Pregnancy Scan €150
Trial Embryo Transfer €150
Miscarriage / Implantation Failure Screening
Thrombophilia/Clotting Screens (female only) €100
Chromosome Testing per person €100
Cystic Fibrosis (CF) Testing per person €250
The above list is not exhaustive of all tests on offer at Galway Fertility Clinic,individualised testing may be arranged with your consultant.
Consultation Fees Cost
Initial First Fertility Appointment €200
Review Appointment €150
*Reduced Rate: Applies where both partners possess current medical cards(“GP Visit” Medical cards not accepted). Galway Fertility Clinic is a private clinic
and does not receive any payment from the HSE or Medical Card Scheme.