Infertility

For those pay OOP - question on multiple cycles

We're doing a FET in January where our RE "discounted" the price by 1K because our first cycle did not result in a live birth.   I'm praying that the FET works but trying to also realisitcaly budget for another IVF cycle if we need to.

Has anyone's RE offered a discount for the 2nd cycle if you are paying OOP? Just wondering if it was common or not.  I will definitely ask if we're in that position. Thanks!

Re: For those pay OOP - question on multiple cycles

  • No, I've started four IVF cycles OOP and never been offered a discount, so that's pretty awesome of your RE. I don't think it is very common to offer discounts, especially if they have programs (shared risk or package programs) because it would likely back-fire on them if other patients, who did buy the packages, found out.

    FX for your FET!  

    ***************************Loss Mentioned***************************


    Me 37 y/o, DH 45 y/o; DH vasectomy reversal (his 2nd marriage) 11/8/12; TTC since 12/8/12. IVF due to MFI. DOR diagnosis April 2015.

     

    IVF #1 BCPs/Antagonist w/ICSI Jan 2014 = BFN

    IVF #2 MDL w/PICSI March 2014 = BFN

    IVF #3 EPP/Antagonist w/PICSI May/June 2014 = BFP!; MMC 6w4d

    IVF #4 No suppression/Antagonist Nov 2014/Converted to IUI #1 = BFN
    IVF #4.1 Feb 2015 = cancelled
    IVF #4.2 April 2015 - Lupron Stop Protocol with ICSI = PGD testing of embryo indicated it was abnormal
    IVF #5 June 2015 EPP with Antagonist 

     

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    Everyone welcome!

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  • I was offered a discount this cycle since it was our 4th cycle with the clinic.  I'm hoping or FET in January (should we have any frosties) will also be discounted.

    imageimageimageimageimage

     

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    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • I was never offered a discount on my cycles. Good luck!

    TTC#1 since April 2011
    IVF#1 July 2012 5R, 3 made it to blast, sET c/p
    FET#1 Aug 2012 2 blasts transferred BFN
    IVF#2 Oct 2012
    16R/6M/6F/2-8 cell grade 1 transfer
    Beta 1-237.9, Beta 2-566, Beta 3-8657
    US 6w3d shows one baby w/ HB 115
    US 7w1d no more heartbeat/ D&C 11/30/12 normal karyotype
    IVF#3 Mar 2013
    6R/4M/4F 1 compacting and 2-8 cell transfer
    ectopic pg MTX given 3 month break from TTC

    IVF#4 Sept 2013--BFN
    IVF#5-7 Apr 2014, Jun 2014 and Aug 2014 banking embryos for CCS testing. Praying for normals! Image and video hosting by TinyPic imageimage

    http://i61.tinypic.com/34zll06
  • Sadly, we don't have any for an FET but our doctor doesn't offer any discounts regardless.  Wish they did, that would be nice.  I feel like they should offer some sort of discount, my husband and I spent close to $17,000 on this cycle alone, after being told our chances were "great".  In the end our chances weren't so great, I know the doctor can't always know, but he is supposed to be one of the best in our state, with very high success rates and basically I feel like he did the wrong protocol on us, and was just totally wrong.  He also knew it was most likely our only shot.  I don't know that we would have put ourselves through this physically and emotionally if we knew what our chances actually were. I think I'm just angry that my cycle wasn't as "great" as I was expecting.  Sorry I rambled on, but long story short, no discounts were offered to us.   


    TTC #1

    Me: AMA, DH: MFI

    Official DX - MFI due to Hemochromatosis

    IVF #1 Nov. 2014 - ER 11/10 (10R 6M 6F) - ET 11/13 

    3DT of 3 embies - no frosties - CP = BFFN!!!!

    ****All Welcome****

    imageimage



  • We were not offered any discounts.  However, we switched to the shared risk program for IVF #2.
    Me 27 DH 29 Married since 2007, together since 2001
    Off BC since Febuary 2006 3 Clomid Cycles in 2008- symptomatic, US just showed a tilted uterus, otherwise normal, HSG normal.  DH has an ejaculatory duct obstruction and a congenital absence of the vas deferens.  This is common with cystic fibrosis carriers, but he doesn't have cystic fibrosis. IVF #1 with TESE/ICSI (Antagonist protocol) Aug 2014=BFN (poor embryo quality)   IVF #2 ICSI long lupron protocol November 2014
    imageimage
  • I bought a one cycle plan at my Clinic, and when the cycle failed, I requested if I can upgrade to their 3 cycle plan, which the RE was nice and said I can upgrade. We thought we didn't need to get the 2 or 3 cycles and our success rates were higher but it didn't work out well. 
  • Nope. We don't have a multi-cycle package at our clinic though (or shared risk - which we don't qualify for at other clinics anyways), so it could be different for us? That's awesome that you're getting a discount for the FET! Hopefully you won't have to ask about a discounted fresh cycle :)
    image imageimage
    image

    ***EVERYONE WELCOME***
    TTC #2 with assistance since 03/11
    Me: 33, Autoimmune (Hashimotos and FMS/CFS)
    Treated with Synthroid, acupuncture, TCM and supplements
    DH: 33, MFI (very low on all counts, high antibodies, hemochromatosis)
    Many treatments tried, none successful

    IVF/ICSI #1 05/14 - EPP/Antagonist, Gonal-F and Luveris, 18R, 14M, 13F - SET of 1BC, all arrested on day 5 - C/P
    Genetic testing = normal, DNA Frag = excellent
    IVF #2 03/15 - Long protocol with Suprefact, Gonal-F, and possibly Luveris, adding in PICSI
     
  • We did this and they have multiple cycle discounts: https://www.arcfertility.com/
    ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Our story:
    TTC since 4/13
    Me: 35
    Husband: 45 
    Issues: Moderate MFI, tubal factor, fertilization problems
    10/13 - we find out my husband has MFI, which has since been addressed and mostly remedied. Hate our RE. 
    12/13 - finally find an RE we love.
    1/14-5/14 - using Letrizole
    6/14 - 1st IUI with Clomid, BFN
    7/14 - 2nd IUI with Clomid,  BFN
    7/14 - Insurance reverses decision and agrees to cover HSG, we learn I have tubal factor
    11/14 - IVF #1 = BFN
    1/15/15 - FET with our one frozen embryo scheduled.



    imageimage
  • My RE does the third one free for OOP patients. I don't exactly know if it's entirely free though.
  • Thanks for all the replies ladies!
  • Chiming in late. Our 1st IVF failed and my RE discounted the IVF fee by about $500 and 20% off the cost to freeze and do ICSI (those costs are all broken out in their fee). So overall it was about a $1000 savings. Not significant but I'll take it. And obviously the money we pre-paid for freeze and PGS for IVF 1 is being applied to IVF 2 since it didn't happen. That was almost $6000 and the only reason we are able to jump back into IVF. After this cycle we will be wiped out for awhile.

    *** siggy warning- losses mentioned- everyone welcome *****

     

    Me:  36

    DH:  42  (w/ 2 children from prior marriage)

    Us:  TTC for our 1st together since August 2013

    1st BFP:  November 2013  (m/c at 7 wks)

    2nd BFP:  February 2014  (m/c at 6 wks)

    RPL Panel started in March 2014

    3rd BFP:  May 2014 (m/c at 5 wks)

    4th BFP:  June 2014 (CP at 4 wks)

    RE appt in June 2014 (all RPL panel tests are normal...it's likely egg quality due to my age and borderline DOR)

    Baseline AFC: 8 follies

    2 IUI cycles (July and August 2014- both BFN)

    IVF #1 w/ ICSI & PGS- October 2014 (AFC: 8 follies; ER Oct 20:  5R/3M/2F;  the 2 only made it to day 3 and stopped growing before biopsy)

    key supplements: DHEA (25mg- 3x/day); CoQ10 (300 mg/day) ISWTE believer here!

    IVF #2 EPP w/ ICSI & PGS- AFC:  13 follies!   10R/6M/6F-  5 biopsied for PGS- 1 normal embryo

    FET scheduled for February 2015 delayed in order to do one more ER in hopes of getting at least 1 more normal embryo

    IVF #3 EPP w/ ICSI & PGS:  7R/5M/5F-  2 biopsied for PGS- 1 normal embryo

    FET #1 April 23, 2015:  1 PGS tested embryo transferred - BFN

    FET #2 June 30, 2015:  1 PGS tested embryo transferred- BFP!! 

     image

  • Our first four cycles were purchased as a package.  They did not offer us a discount on more IVFs. My current clinic does offer discounts for repeat patients.  They have been extremely generous with offering us a significant discount for a donor egg cycle using donor eggs.  Unfortunately for us we cannot afford even the very discounted donor egg cycle using donor eggs, since we have spent a sh!t ton of money this year cycling :(  

    I think it's worth asking for a discount, the worst they can say is no. Good Luck!!
    ::: Married June 2003:::
    TTC #1 since: Aug. 2008
    Me: 34, DOR, MTHFR-A1298C (heterozygous), decreased blood flow to uterus, Mild Endo
    DH: 38, Balanced translocation 5&10, unexplained MFI, normal SA and SCSA
    Tx History: IUI 1&2= BFN
    IVF# 1 W/ICSI= BFN
    IVF# 2: cancelled d/t no response
    IVF# 3= 1 egg retrieved=immature/not viable
    IVF# 4= c/p
    ***CCRM ODWU***
    Found DHs BT and Me-decreased blood flow to uterus
    Recommended DE IVF w/PGD, incorporate electro-acupuncture. Decided to cycle locally
    ***New RE***
    DE IVF# 1(cycle #6) w/pgd, (freeze all): 30R, 23M, 15F, slow/poor embryo development, 4 biopsied, 1 Normal "Norm"; DE IVF w/PGD, incorporate electro-acupuncture. 
    IVF# 6: (OE/DS) cancelled
    IVF# 7: (OE/DS) 1R, 1M, 1F, arrested day 5
    Plan-DE IVF# 2 (cycle #8): DE/DS in May 2015


    http://icanhazbabyz.blogspot.com/
    imageimage image 
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