Price List (Effective 8th February 2016) www.fertilityclinic.ie Galway Fertility Clinic, Galway West Business Park, Rahoon, Galway. Telephone: 00 353(0)91 515600 | Fax: 00 353(0)91 515280 Email: [email protected]Payment Terms and Conditions • Accepted methods of payment are as follows: Debit Visa Card up to €1500; Cash; Cheques / Bank Drafts/ Postal Orders made payable to Galway Fertility Clinic. Credit Cards are accepted but these incur a 2% supplementary charge, to cover charges levied by the processing bank (please notify your bank in advance of using this method of payment). • Fertility treatment costs are not normally covered under private medical insurance (e.g. VHI. etc) or by the HSE. Please check with your insurance provider for clarification. • Costs may be claimed against Income Tax at the end of each financial year using MED.1 Form with your receipts. You can download these forms from www.revenue.ie • All treatment cycles for IVF / ICSI and FER must be paid for in full prior to each treatment. • GFC Bank Transfer Details: Bank Name - AIB, University Branch, Newcastle Road, Galway BIC/Swift code: AIBKIE2D IBAN Code:IE38AIBK93743610652045 Payment Reference: Patient Name and IV Number (available from the clinic) QF-031 Rev 12 No Hidden Costs for IVF Treatment - Embryoscope ® and Blastocyst Culture included in all IVF Cycles giving you the best chance of success, saving you up to €1500.
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Price List - Galway Fertility Clinic · Chromosome Testing per person €100 Cystic Fibrosis (CF) Testing per person €250 The above list is not exhaustive of all tests on offer
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Price List(Effective 8th February 2016)
www.fertilityclinic.ie
Galway Fertility Clinic, Galway West Business Park, Rahoon, Galway.Telephone: 00 353(0)91 515600 | Fax: 00 353(0)91 515280
Cash; Cheques / Bank Drafts/ Postal Orders made payable to Galway Fertility Clinic.
Credit Cards are accepted but these incur a 2% supplementary charge, to cover chargeslevied by the processing bank (please notify your bank in advance of using this methodof payment).
• Fertility treatment costs are not normally covered under private medical insurance(e.g. VHI. etc) or by the HSE. Please check with your insurance provider for clarification.
• Costs may be claimed against Income Tax at the end of each financial year using MED.1 Formwith your receipts. You can download these forms from www.revenue.ie
• All treatment cycles for IVF / ICSI and FER must be paid for in full prior to each treatment.
• GFC Bank Transfer Details:Bank Name - AIB, University Branch, Newcastle Road, GalwayBIC/Swift code: AIBKIE2DIBAN Code:IE38AIBK93743610652045Payment Reference: Patient Name and IV Number (available from the clinic)
QF-
031
Rev
12
No Hidden Costs for IVF Treatment - Embryoscope® and Blastocyst Culture included in all IVF Cyclesgiving you the best chance of success, saving you up to €1500.
www.fertilityclinic.ie
IVF Related Costs
Procedure Cost Cost after ReducedMed1form Rate*tax rebate
Cyst Aspiration (includes laboratory analysis if needed) €300
Early Pregnancy Scan €150
Trial Embryo Transfer €150
Miscarriage / Implantation Failure Screening
Thrombophilia/Clotting Screens (female only) €100
Chromosome Testing per person €100
Cystic Fibrosis (CF) Testing per person €250
The above list is not exhaustive of all tests on offer at Galway Fertility Clinic,individualised testing may be arranged with your consultant.
Consultation Fees Cost
Initial First Fertility Appointment €200
Review Appointment €150
*Reduced Rate: Applies where both partners possess current medical cards(“GP Visit” Medical cards not accepted). Galway Fertility Clinic is a private clinic
and does not receive any payment from the HSE or Medical Card Scheme.