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The World of INFERTILITY….
In 2008, the U.S. economy plummeted into a recession, causing:
Financial hardships for every sector of business -including healthcare.
The fields of medicine hit hardest, those considered "elective" – i.e plastic surgery and infertility treatment.
Programs for “cash” patients undergoing treatment were very limited.
Options included –
Single ART Cycles – Full Fee For Service (OR)
Shared Risk/Refund Program – Purchase a multi-cycle package at discounted fee.
The World of INFERTILITY… Single Cycle Options – Range from $10,000 to
$15,000 + Extra costs for pre-testing, medications,
and Micro-techniques (ICSI, AZH, Cryo, etc.)
Includes 1-Full ART Cycle
NO Refunds-regardless of outcome
Shared Risk/Refund Options – Range from $30,000 to
$40,000 (or more) + Extra costs for pre-testing,
medications, and Micro-techniques.
Includes Multiple Cycles – Typically 3 Fresh + 3 FET’s (if
patient cryopreserved extra embryos)
If NOT pregnant after undergoing ALL included cycles –a “portion” of package cost is “refunded” (i.e. 50%,
60%, or more).
Shared Risk sounds…. Like a great option. Right?
Well, financial hardships and other funding restraints hamper patients from paying $30K-$40K up front, AND
Clinics and patients notoriously neglect to read the fine print for these programs:
The “FINE PRINT”…..
Clinics- Take Deep Discounts and Pay Excessive Fees:
Deep discounts – applied to clinic cycles/services by 3rd party company when “packaging” to sell.
Excessive Fees- steep monthly partnership fees to offer program, AND Penalty Fees (on top of discounted services)
for failed patient cycles – paid to 3rd Party Company.
SHARED RISK – The
SHARED RISK – The
Patients – Eligibility criteria, Refund Policy and Extra
Services:
Eligibility - only patients most likely to get pregnant with
the 1st treatment cycle will qualify to participate.
Extra Services – costs for pre-testing, medications, and Micro-techniques - not included in the “package fee”
and add $8K, $10K, $15K to overall cost
Refund Policy – No refund for Unused Cycles, pre-
testing, medications, or Micro-techniques.
If patient does NOT get pregnant – only receive a portion of
the base package fee - NO refund on additional/extra
services or medications.
If patient DOES get pregnant– NO Refund (period). I.E. - If
pregnant on 1st Cycle – patient forfeits ALL monies paid –
Essentially….pay $30,000 to $40,000 for a SINGLE cycle!
Financially – patients couldn’t afford high priced Shared Risk programs, and today, most still can’t….
Majority of Patients either don’t need (or) don’t want ART treatment: 2015’s research shows - less than 5% of all infertility
patients will seek or use IVF treatment.
This leaves – over 95% of infertility patients able to, or desiring to use alternative therapies!
So, what options are there?
ART Treatment Then & Now…
Enter… The C.A.R.E.S.© Program
C.A.R.E.S.© = “Cost Assistance for Reproductive
Endocrinology Services”
Developed in 2008 as a means to:
1- Assist clinics to counteract the impact of the
Recession by offering more treatment options
AND
2- A cost effective alternative to “Shared Risk” and
“Refund” Programs – such as ATTAIN® and ARC®
The C.A.R.E.S.© PROGRAM
Discounts on EVERYCycle
ART & Non-ART treatment
Multi & Single Cycle packages
Lower costs/fees
Most patients qualify to participate
Most patients proceed
Refund-ONLY if not preg. after all cycles
ART treatment-ONLY
Multi-Cycle packages-ONLY
Highest costs/fees
Most patients do NOTqualify
Minimal patients proceed
C.A.R.E.S.© Shared Risk
The C.A.R.E.S.© PROGRAM
Side by Side….
How does The C.A.R.E.S.© Program
against Shared Risk for the
PATIENT
Next Slide
The C.A.R.E.S.© ADVANTAGE
*Information is representative of the “typical” Shared Risk (or) Refund Program on the market today – i.e. ATTAIN or ARC.
The CARES© Program
*Shared Risk (or) Refund Programs
Types of Treatment Packages – ART, Non-ART, and Basic Infertility Testing: ART treatment = IVF, Donor, and Combo IVF Non-ART treatment = Clomid/Femara, Ovulation Induction, IUI’s
Types of Treatment Packages – ART treatment – ONLY (IVF and Donor Egg IVF)
↑Single Cycle and Multi-Cycle Packages: Patients only pay for the current treatment cycle-in advance- unless select a Multi plan.
Multiple Cycle Packages-ONLY: Patients must pay for multiple cycles-in advance
Less Expensive Fees: ART options = less than cost of a single cycle at fee-for- service price Non-ART options = less than cost of a fee-for-service cycle Testing Package = less than cost of paying fee individual tests at fee-for-service prices.
Most Expensive Fees: ART options = typically 2.5 to 3 times (or more-depending on the number of cycles included) cost of a single cycle at fee-for-service prices.
Discounts applied to 1st Treatment Cycle and each cycle thereafter. Patients can postpone or discontinue treatment after single cycle-without losing their discount(s).
ЖDiscounts only apply when multiple cycles are purchased AND completed. Unable to postpone or discontinue treatment – without paying penalty fees or loss of discounts.
Patients Only pay for treatment and services performed and received – regardless of pregnancy outcome.
Patients are Required to pay for multiple cycles: If a pregnancy is achieved – do not receive a refund for unused treatment cycles or services. If a pregnancy is not achieved – only receive a portion of total costs (i.e. no refund for medications or pre-testing)
Clinic’s MD determine eligibility – most patients qualify to participate (if cash patient)
3rd Party Company determines eligibility – strict medical criteria to qualify – Normal D3 labs, under 35 yrs old, and also cash patient. Most do NOT qualify.
Multiple Financing Options Offered for Patient Use
Partner with 1 Finance Company as a Preferred Lender
The C.A.R.E.S.© PROGRAM
Side by Side….
How does The C.A.R.E.S.© Program
against Shared Risk for the
CLINIC
Next Slide
C.A.R.E.S.© Program Options
NON-ART Package Options:
(#3) - Basic Infertility Testing Package(s)
(#2) - Clomid/Femara Packages
(#2) - Ovulation Induction Packages
(#4) - IUI’s (intra-uterine inseminations)
Options
Early OB Care – for Gestational Carriers
or Patients without any healthcare
plan/coverage.
C.A.R.E.S.© Program Options
ART Package Options:
Regular IVF Cycle
F.E.T. (frozen embryo transfer) Cycle
Donor Egg IVF Cycle
Combo – IVF + Donor Egg Cycle
Military – Regular IVF Cycle
Multi-Cycle Packages:
1- Two FRESH IVF Cycles
2- One FRESH IVF + One FET Cycle
C.A.R.E.S.© Program ELIGIBILITY
WHO QUALIFIES FOR THESE PROGRAMS?
ALL - CASH Patients
Patients cannot use health insurance to pay for
any procedures included in a package.
Treatment Selected must be recommended or
approved by clinic MD.
Examples:
Patients selecting Clomid, OI, IUI, packages must
have patent fallopian tubes.
Military packages – only available to Active Duty
Military (patient or partner must be Active).
C.A.R.E.S.© Financing Options:
C.A.R.E.S.© works with 5 (five) online agencies –all made available for patients to secure funding:
Online Agencies – 5 companies: http://www.cares-fertilityfinancing.com/financing-options
Other Programs –1 to 2 Options (at most)
C.A.R.E.S.© Medication Assistance
C.A.R.E.S.© works with ALL patient Medication
Assistance Programs – including RX Plans &
those direct from Pharmaceutical
companies.
Such As: Compassionate Care –
- Ferring Pharmaceuticals
- Merck / Organon
Questions About Joining
The C.A.R.E.S.© Program?Visit our FAQ page at:
http://www.cares-fertilityfinancing.com/faq-s/physicians
Additional questions, or want to discuss program benefits in greater detail?
Complete our “Contact Us” form: http://www.cares-fertilityfinancing.com/contact-us (OR)
Email us at : [email protected]
It’s that simple!
Ready To Join The C.A.R.E.S.©
Program Network? Step 1 – Complete our “Contact Us” form at
http://www.cares-fertilityfinancing.com/contact-us
Step 2 – Sign the CARES© Program Agreement
Step 3 – Select the CARES© Program packages to be offered at your clinic
Step 4- Provide our office with the necessary info to prepare your clinic’s packages and marketing materials.
That’s it… We do the rest and get your clinic up and running!
The C.A.R.E.S.© Program:
Combining Innovation and
Affordability into One Program to
Meet the Needs of Patients & Clinics
“A Program patients can afford =
A Program clinics can sell”!
THANK YOU!
Please visit our website(s):
www.SMARTMDPractices.com
www.CARES-FertilityFinancing.com