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INSURANCE
INFORMATION & PAYMENT POLICIES
Insurance
Information
We understand that insurance coverage is a complicated issue to
most couples. We encourage you to contact your insurance company
to discuss their specific payment policies. If you do not feel comfortable
with the information you have received or you do not understand
a payment policy please contact our Billing Office. We encourage
you to contact the billing office prior to the initiation of the
In Vitro Fertilization Cycle to discuss your financial obligations
and to assist you with any insurance questions you may have. We
will certainly work in cooperation with your insurance carrier to
insure that you will receive the benefits included in your policy.
Expenses not covered by your insurance policy will be your responsibility.
Please
remember if your insurance carrier requires that you obtain a referral
for your visits at the Cooper Center for IVF, you must maintain
current referrals. We suggest recording your referrals on a
Medical Calendar. This will help you to keep track of the number
of referrals you have and remind you to contact your primary doctor
when you need to update them. We appreciate your effort in assisting
us with this task. If you are uncertain if your referrals are current
you should contact our Billing Office (800) 752-1086 or by e-mail
at billing@ccivf.com. A
reminder: If you don’t have a current referral, you do not
have insurance reimbursement for a visit to the Cooper Center for
IVF.
Payment
Policies
In an effort to maintain our reasonable prices for In Vitro Fertilization,
we must require that payment for all Egg Retrievals, Frozen Embryo
Transfers, Recipient of Donor Egg Transfer Cycles and all other
IVF procedures be received prior to the start of medication for
the IVF cycle (Lupron, Estrace, or injectable Fertility medications).
A delay in beginning your stimulation cycle may occur if payment
has not been received or if the Billing Office has not been contacted
by you in an effort to rectify your account.
Payment
Arrangements
CREDIT CARD:
We accept VISA, MasterCard, Discover. Contact the Billing Office
(215) 635-0877 or (800) 752-1086 with your credit card information.
PERSONAL
CHECK OR MONEY ORDER:
Payment is accepted in all offices or you may mail the payment directly
to the Billing Office. The personal check or money order should
be made payable to COOPER CENTER FOR IVF, P.C.. Payment should be
mailed to:
COOPER
CENTER FOR IVF, P.C.
7447 OLD YORK ROAD
MELROSE PARK, PA 19027
ATTENTION: Billing Department
Financial
Information
Procedure
| Stimulated IVF Cycle: |
|
| (58970) Oocyte Retrieval |
$2000.00
|
| (89250) Fertilization, Incubation, Growth and Development |
$2000.00
|
| (58974) Embryo
Transfer |
$1500.00
|
| TOTAL: |
$5500.00
|
| Frozen
Embryo Transfer (FET): |
|
| (58972)
Embryology Lab Fee-Thawing and Development |
$1250.00
|
| (58974)
Physician Embryo Transfer and Facility Fee |
$1000.00
|
| (89253)
Assisted Hatching |
$250.00
|
| TOTAL: |
$2500.00
|
| Frozen,
Donated Embryo Transfer: |
|
| (58972)
Thaw and Development of Embryos |
$1250.00
|
| (58974)
Embryo Transfer |
$1000.00
|
| (89253)
Assisted Hatching |
$250.00
|
Administrative
Fee
|
$250.00
|
| TOTAL: |
$2750.00
|
| Natural
Cycle IVF (min): |
|
| (58970) Oocyte Retrieval |
$1200.00
|
| (89250) Fertilization, Incubation, Growth and Development |
$1200.00
|
| (58974) Embryo
Transfer |
$400.00
|
| TOTAL: |
$2800.00
|
| Miscellaneous
Items: |
|
| ICSI: less than or equal to 10 oocytes |
$775.00 |
| ICSI: greater than 10 oocytes |
$1000.00 |
| Conscious Sedation |
$200.00 |
| Cryopreservation of Embryo |
$250.00 |
Cryopreservation of Semen
Note: does not include long-term storage
|
$250.00
|
| Mock Embryo Transfer |
$200.00 |
| New Patient Office Visit (Comprehensive) |
$300.00
|
| Out-of-Town Management Fee (Per Cycle) |
$240.00
|
PGD Facility Fee
Note: PGD is a third-party provided service which requires precise planning. Please confirm PGD is available for a given cycle before quoting prices to our clients. |
$750.00 |
| Six-Month Storage (Cryopreserved Embryo) |
$250.00 |
Sperm Aspiration Facility Fee
Urologist fees are not included
|
$400.00
|
Do you or your patients have questions for billing? You are encouraged to contact them:
Melrose Park Billing Department: (800) 752-1086
New Jersey Billing Department: (888) 579-5500
Email Address: billing@ccivf.com
Prices valid as of 05-01-04. Subject to change without notice.
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