By fertility experts from Spain.
Watch the recording of the webinar on IVF refund and money-back guarantee programs offered by fertility clinics. What exactly is guaranteed? Will I get a full refund? Dimitris Kavakas, an international business development consultant experienced in the fertility travel sector and a CEO at Redia IVF Travel talks about the topic.
Yes, if the miscarriage is a medical reason that the doctor advises to do., You can either continue if that was the first cycle, you continue in the next one or the second. If it’s the last one, you can get your refund, but this is not a voluntary thing, we do not accept abortion as a choice unless there is a serious medical problem. If the baby, as you said in this example, had issues that will not survive, and the doctor advises abortion, so only if, it’s a medical reason.
We currently work with clinics in more than 10 countries, and we are constantly expanding. At the moment, we use this time of the coronavirus crisis to do some reorganization work and expand the network in many places, including the UK. It is something that we are planning to do very quickly because we don’t have UK clinics yet but, we will be having them very soon. Regarding anonymous and non-anonymous donation, every country has its own legislation. The first non-anonymous donation country that I am thinking about is the UK, but in Portugal, this is the one we work with, and we can have non-anonymous treatment. It depends on the country, for example, in Ukraine, Cyprus or Georgia, this kind of countries they have mixed legislation, so you have an anonymous donation for donors that they provide to you, but you are always free to bring your own donor, so that makes it a known or non-anonymous donation, or you can choose a donor from any donor agency anywhere and send a donor to that clinic, so this kind of countries you can go, if you are looking for non- anonymous donation.
For egg donation, you would expect something in the region of 14000 GBP for countries like Greece and the Czech Republic or Ukraine, and you would expect 16,000 GBP or more depending on the clinic because we even have clinics in Spain where it can cost 21,000 or 22,000 GBP, so it depends. The price varies from 15,000-16,000 GBP to more than 20,000 GBP.
No, immune tests are not covered in the program. Screening tests or extra tests like PGT-A, if it’s needed or anything extra that may occur, is an extra payment, it is not included. The program covers the basic IVF costs like stimulation cost, the monitoring cost, the medication, the transfer cost and the freezing cost.
I don’t know which clinic and which program you’re using, but I can talk about our program where it offers the choice of changing a clinic within the program, so we had cases, in the past, there was a couple that changed the clinic from the first cycle to the second cycle, so if you are in a program, you can change, obviously, if the clinic you want to go, is much more expensive, you’ll have to pay the difference, or you can choose another clinic in the same price range. But you can change the clinics, but also even countries. If a couple is in an egg donation program, has done three cycles which failed though, I don’t think any other guarantee program we’ll take them afterwards because that means there is a serious issue if the issue is of the sperm of the partner, we need to see what is the reason and they need to accept the fact that they will go with a double donation, then yes they can be accepted into a program, but if there is another serious issue and they keep on failing, possibly they won’t be accepted into the problem.
I don’t have the information about what AMH level if you mean 7.9 ng/ml, yes, you are eligible in that sense, if everything else is fine. We don’t have a clinic in London yet, so you have to wait for a few months, but hopefully, if you get in touch with us, we’ll be soon able to assist, and yes it will be a full refund – 100%. If your AMH is 7.9 pmol/ml, you are way under the limit, which is an AMH 11 pmol/ml.
I’m not aware of any studies that mentioned negatively this, I don’t think there is any relation to health issues there. Egg donation is an IVF process, so it doesn’t matter who provides the eggs if the egg donor is healthy. Because we guarantee a refund, we only work with the best clinics, you don’t want to lose your money and we also don’t want to lose ours, so we don’t want to work with dodgy clinics. The clinics we work with, all have very high standards of choosing donors, screening donors genetically, psychologically and medically, so they guarantee that what you’re getting is, a completely healthy egg from a donor, so there have been no issues.
The only clinics I can recommend are the ones that we’re partnering with, and we have an agreement with. I cannot recommend any other clinics, not because they’re not good enough, but because I don’t know them. I know the clinics we work with. If you visit our website which is ivftravel.com, there’s a button that says ‘our partner clinics’, and you can find all of our clinics there, so I don’t want to use your time now and make any recommendation, but if you see the list, you will see our clinics.
It’s both, I mean if you don’t have a choice, we can help you and recommend it, depending on your profile, and treatment that you need, and your budżet. If somebody asks, we can recommend the clinic which is very good and is over 20,000 GBP, but if you cannot afford that, you will never choose that. So depending on your choices, and your preferences, your profile, we will find the right clinic for you. Currently, we work with Spain, Greece, the Czech Republic, Ukraine, Cyprus, Georgia, we’re working to also expand in the UK, as I’ve mentioned. We work with South Africa, Malaysia, Mexico and India. We are also working on several more countries now as the US, as we are trying to expand the network.
We are a company in the UK, and we sign a contract with the patient for the refund guarantee program. The patient signs a contract with the clinic directly for the treatment itself, for each treatment they do. But we sign a contract together, and we guarantee this agreement.
This is a question that comes up quite often. I’m not sure if there are clinics that offer monthly payment, maybe there are financial organizations in the UK, the clinics that work with financial organizations that offer loans. One thing, you can do is to get a loan, and there are consumer loans available for you, and so you can pay the cost of the program and then you can pay by monthly payments there, I don’t know of any clinics which offers that. What we do, as a company to help, because we are not the financial organization, we are not allowed to offer loans, we ask for 50% deposit, and the remaining 50% can be paid in six monthly instalments. That’s the best we can do to assist, so it is a little bit more affordable to you. We need the 50% deposit because we need to pay the clinic for your treatment, so we cannot offer monthly payments. If you live in the US, we have different systems of payment, the best way to pay is by wire transfer, and there are different companies we work with, like JC Partners, TransferWise, and there are so many other companies that you can pay in the US, in dollars and they transfer the money to our bank here in the UK, so payment is not an issue. In the US, the only real issue we are facing is with medication because, it’s not allowed to ship medication to the US, so that is the issue. You either have to buy the medication there, and we have to exclude the cost of medication from the treatment, or you can make the first visit to the clinic in Europe for a consultation. So you’ll make 2 trips, one visit for a consultation where you’ll get all the medication with you, and then you start your treatment there and come for the transfer back to Europe.
If it’s three or more, it is an issue, as I said. We don’t want to sound like we put strict laws in this because it depends on those cycles, we want to see the reason why. If you go for an egg donation in the UK, where a lot of clinics do egg sharing, so you have shared eggs of another patient who does a cycle. Normally, these are infertile couples, and the eggs are not good, so your chances to succeed are very low, normally in egg sparing it is below 20%. So, if you have failed egg donation cycles in the UK with egg sparing, we will not count that as egg donation, we will accept you into the program, so we don’t want to put some unbreakable laws, we want to see case by case, but usually, if you have three cycles of egg donation within countries that use Young, fertile donors, and you’ve failed, that means there is a serious issue, and we need to see why, if sperm is the issue, we will recommend using a sperm donor, and then we can accept you.
Yes, we have both. We have one clinic in Cape Town, which is actually one of the best in Cape Town, and we’re discussing it with a second, so the two best clinics in Cape Town, and one we already work with. In Johannesburg, we work with two clinics. So, you can check them on the website, with one that we are negotiating with is not there yet, but we can give you information on a personal email. Regarding the travelling, it’s not an issue if you would like to spend one more day, usually in short distances like if you travel within Europe, we recommend to stay during the day of the transfer and travel the next day, so we don’t recommend travelling on the same day. If you travel long distances, like South Africa, we recommend you to stay one more day after your transfer.
No, we don’t want to get into the additional agencies, so I mean we know that this is very simple, there are so many websites offering the accommodation, you can easily find what you want in the budget that you want. We don’t want to get into that, we want to focus on what we know best, and that is IVF in the medical process.