DEFINITION OF INFERTILITY
If a couple has been trying to achieve pregnancy for over 1 year it is time to consult our specialists who exclusively treat couples with infertility. Since infertility can be age related, patients 35 years of age and older should see us after failure to conceive for 6 months.
CAUSES OF INFERTILITY
A Baby...The ultimate expression of love that only the two of you can give to each other. You've tried -- maybe you have even sought the help of a physician or gynecologist -- but now the time has come to seek the services of fertility specialists. The Fertility Center of Maryland provides these services. Our highly trained and compassionate staff of doctors, nurses, laboratory technicians, ultrasonographers, and counselors are dedicated to help you achieve your dream.
- Failure to ovulate (release an egg from the ovary)
- Insufficient sperm
- Blocked tubes
- Endometriosis – a condition that occurs when the lining of the womb, called endometrium, is present on the ovaries or the tubes
- Abnormal mucus on the cervix (mouth of the womb)
- Uterine fibroids
- Pelvic adhesions (scar tissue) which may prevent sperm from getting to the eggs
- Poor development of the uterine (womb's) lining
- Irregular menstrual cycles
- Previous tubal ligation
WHY SHOULD YOU CHOOSE THE FERTILTY CENTER OF MARYLAND?
OUT-OF-STATE or OUT-OF-COUNTRY CARE
- Extensive experience. Since 1992, more than 9,000 babies have been born from our treatments.
- Our physicians have a combined experience of over 55 years caring for patients affected by infertility.
- More than 200 physicians refer patients to our Center.
- We have had excellent success rates since the opening of our Center in 1992.
- We offer free, no-obligation financial consultations to individuals researching clinics and treatment options.
- All of our facilities are on the same floor which allows excellent communication between the medical, nursing and laboratory staff. Our nursing and medical staff participates in all aspects of the treatment cycle. This way the patient receives continuity of care during ultrasound examinations, office visits, ovulation induction, inseminations, egg retrievals, and embryo transfers.
- We offer, large clinic services in a small, family-like atmosphere.
- We offer informational seminars at our clinic to provide couples with a preview of our facility.
- We offer a free new patient consultation to couples who attend our seminars.
- Our Center welcomes patients from several other states and countries.
- Easy access to and free parking at our facility.
- We provide very individualized and personal care to our patients.
- Our laboratory and surgery facilities are fully accredited.
If you have a limited amount of time that you can spend in Baltimore or in the United States, we recommend proceeding directly to in vitro fertilization (IVF). You may have other alternatives to IVF, but they usually take longer to complete. In general, you will need to plan on approximately six to eight weeks at our Center to complete an IVF cycle. Consult your gynecologist or contact us to see if IVF is appropriate for your case. To perform your IVF, we will recommend the following:
- Start a monophasic birth control pill on your menstrual cycle day 3. Day 1 is the first day of full menstrual flow. Please ask your gynecologist to make sure you have no contraindications to taking the birth control pills. If you have a contraindication, then you need to call us.
- We would like to see you and your husband for a consultation approximately 10 – 15 days after you start the pills. At that time, we will perform a semen analysis, hysterosalpingogram and an endometrial biopsy. If you do not speak English, you will need an interpreter. If you need more time to plan, you can be on the pills for two months.
- If you have had a previous hysterosalpingogram (HSG) performed, please bring the films with you as well as any other medical records pertinent to your infertility. The records will need to be in English.
- You will be initiating the in vitro fertilization usually within two weeks of your initial visit. Once you start your IVF cycle, it takes approximately three weeks to complete it. A pregnancy test is performed approximately two weeks after completing the IVF cycle. This will give you an idea of the time that you need to spend in the United States.
- The cost of an IVF cycle is usually between $11,000 and $14,000 depending on the amount of medications and the need for other procedures like ICSI (egg microsurgical sperm injection). You need to bring $14,000 in US currency for the expenses. You also need to be 43 years of age or younger to do IVF at our Center. You may also be a candidate for our "Patient Refund Program."
GET UP TO SIX FRESH IVF ATTEMPTS WITH OUR PATIENT REFUND PROGRAM
CALL OR ASK OUR INSURANCE DEPARTMENT about your insurance coverage.
FREQUENTLY ASKED BILLING QUESTIONS
How do I know if infertility is covered by my insurance?
You need to call your insurance company and verify the benefits being covered under your plan.
What are the questions I have to ask when calling my insurance company?
- Do I have coverage for infertility diagnostic testing and treatment?
- Do I need a referral or authorization?
- Do I have a co-pay?
- Do I need to register for infertility coverage?
- Is there a pre-existing condition or a waiting period for infertility in my policy?
- At what percent is my coverage?
- Do I have a maximum amount on my infertility coverage?
Do I have a co-pay with each visit?
If there is a co-pay with your insurance most likely there is a co-pay with each visit. Co-pays are due at time of service. The front of most insurance cards indicates if co-pays are required for specialist visits.
Is there financing available?
We accept Visa and Master Card. In addition, you can get financing for treatment and medications as well as other IVF packages through Advanced Reproductive Care, Inc. (ARC), the largest network for fertility financing.
What benefits do JHH and JHU employees have with FCM?
Johns Hopkins Hospital employees must have services performed at JHH. Johns Hopkins University employees may have services performed at FCM. Benefits depend on your insurance contract.
Does my insurance cover tubal reversal?
State of Maryland employees get 1 reversal per lifetime. A reversal is considered elective surgery. Our doctors offer a discounted fee for self-pay patients, but there will be hospital and anesthesia charges as well.
Does insurance cover same-sex partners or single women?
There are plans that will cover your treatment needs. Call your insurance company to check. We have found that more insurance companies are implementing contracts to include infertility services for same sex partners and single women. However, we suggest you contact your insurance carrier to verify coverage for those services.