Why Are Some Services Not Included?
Most new recipients entering the ASB pathways have already completed one or more recent fertility cycles at other clinics. For these patients, most of the services not covered by the fees have already been completed and will not have to be repeated. For other recipients, these services can be covered under their insurance which would not be possible if they were a part of the package pricing. Because it is our mission to provide the most affordable options possible, we have separated these services from the pathway package costs to help patients save money and avoid double charging patient who have already completed these tests. If you have questions about not covered services, these questions can be discussed during your phone consultation with the program director which is free of charge.
Other costs to consider:
New Patient Appointment
The new patient appointment establishes care with one of our participating clinics and is a requirement before entering any ASB program. This fee can be billed to insurance directly from the clinic.
The Saline ultrasound can be billed to insurance from the participating clinic and is not included in the ASB program fees.
Blood tests are required for both the female who will receive the embryo transfer as well as her sexually intimate partner and the sperm source. Many patients have already had these tests performed with recent treatment and most are covered by insurance. These tests are required and are not included in the ASB program fee.
Sexually intimate partner required tests:
- HIV I/II
- Hep B surface antigen
- Hep B Core
- Hep C antibody
Recipients are required to meet with an ASRM approved mental health professional regarding third party reproduction. This visit must be completed in the state in which the recipient resides and can be individual or group class structure. A clearance form will be provided. Recipients may select the professional and structure of their choice within ASRM guidelines. This appointment is not covered under ASB program fees.
Genetic Carrier Screening
Genetic carrier screening for the egg and sperm donors are covered in the pathway fee, however if the patient is using partner sperm or private donor, the male genetic carrier screening costs are the responsibility of the patient and is not a covered expense. Many male patients already have genetic screening results and will not have to repeat them unless his screening tests are different than that of the donor.
For patients using partner or private donor sperm, a recent semen analysis is required to determine pathway eligibility. If the patient does not have recent report, or if their report is older than 6-months old, they will be required to have another test performed. Abnormal semen analysis reports from other clinics must be repeated at ASB to determine eligibility. This is a test that can be billed to insurance and is not included in ASB program fees.
Semen Cryopreservation/ Semen Thawing
Patients are not required to cryopreserve semen. Many patients who are not local prefer to have semen cryopreserved for convenience and it is recommended for patients further than a two hour drive. Semen cryopreservation, storage, and thaw are not included in the ASB program fees.
All donor medications are included in the ASB program fees. Recipient medications for FET cycles as well as other required individual medications for both male and female recipients are the responsibility of the patient and are not covered under the program fee.
ERA testing is not required for all patients but is required for the pregnancy guarantee program recipients. The ERA is not covered under the ASB program fees.
Mock Transfer Cycles
Mock transfer cycles are not required for all recipients. If a mock transfer cycle is indicated, it will be the financial responsibility of the patient and is not covered under the ASB program fees.
For recipients using their local clinic for ultrasound and monitoring appointments, they will be charged by the clinic performing the monitoring as well as the participating clinic reading those reports.
Embryo Transfer Cycles
Fresh or frozen (FET) transfer cycles are not included in the ASB program fees and will be billed directly from the clinic performing the transfer.
For recipients entering the 6 fresh-egg cohort program, embryo storage fees will apply if there are embryos cryopreserved after their pathway completion. Embryo storage fees are billed annually and are not covered under the ASB program fees.