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IVF Funding: What’s Next

Noteworthy Points

1. While the full details are still unclear, it is likely that not all patients will receive the maximum funding for treatment. The government has stated coverage of “up to $19,000.” If every patient were to receive the full amount, only a small number would be funded. We therefore anticipate that some patients will receive the full amount, while others will receive partial funding.

2. The amount of funding you receive is determined solely by the government—we have no control over the allocation.

3. Our role is to submit your application and provide appropriate medical care; the financial aspect is managed entirely by the government.

4. Patient safety and high-quality laboratory care are essential to successful IVF outcomes. To maintain these standards, we have weekly capacity limits that cannot be exceeded. With over 500 patients expected to apply, treatment cycles will be spread out over the next 6–8 months to ensure optimal care.

5. There will be no prioritization of patients. Any treatment delays will be randomly assigned. Your physician or nurse will not influence this order.

What’s Next?

After we submit your funding application, we’ll review your pre-treatment testing to ensure it’s current. Our medical team is already in the process of doing this.

Cycle Day One Call and the OCP

1. The Oral Contraceptive Pill (OCP) is used to prepare the ovaries before starting IVF.
2. Please call the clinic on Day 1 of your period (Cycle Day 1) so we can initiate the OCP.
3. If you are unable to take the OCP, the nursing team will discuss alternative options during your Cycle Day 1 call.
4. Some patients will require an ultrasound to evaluate the uterine cavity. This is called an SHG (sonohysterogram). If it has not been done in the past year, we will arrange this either at PCRM or an external radiology clinic.

Scheduling the Start of IVF Injections

1. Once you begin the OCP, our team will contact you to schedule injection teaching (if needed) and create your IVF cycle calendar.
2. Due to potential wait times, you may need to remain on the OCP for up to 2 months (with a 7-day break between cycles).
3. If the wait time exceeds 2 months, you will complete a standard 21-day OCP cycle and then stop.
   a. Our team will then schedule your IVF cycle to begin approximately 3 or more months later.
4. If you are planning to proceed with Preimplantation Genetic Testing (PGT) and it is not already in your treatment plan, please let us know so we can make the necessary arrangements.

Financial Considerations

1. Once your application has been reviewed, the government will inform us of your approved IVF funding amount.
2. Some patients may choose not to move forward with IVF if treatment costs remain unaffordable, even after funding.
3. If you decide not to proceed, please inform us as soon as possible so we can reallocate that funding opportunity to another patient.
4. Once your funding is confirmed, our financial concierges will apply the amount to your account and generate an invoice reflecting the funding credit along with the cost of services and medications.

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