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  1. #11
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    If anyone wants the info for Westmead Fertility Centre

    Out Of Pocket Costs comparison:

    Claim-Back Option
    1st cycle 1179.50
    2ndcycle in same year 328.22
    3rdcycle in same year 328.22

    Therefore:
    Total OOP after 2 cycles in one year 1507.72
    after 3 cycles in one year 1835.94

    No-Safety-Net-Claim Option
    1st cycle 700.00
    2nd cycle in same year 890.00
    3rd cycle in same year 890.00

    Therefore:
    Total OOP after 2 cycles in one year 1590.00
    -after 3 cycles in one year 2480.00

    Claim-Back Option
    IVF or ICSI - First Treatment Cycle - No previous medical expense in same calendar year.

    Payment to WFC prior to commencing treatment
    IVF $4720.00 ICSI $5055.00
    Medicare Rebate
    IVF $3268.90 ICSI $3603.90
    Initial Out of Pocket cost
    IVF $1451.10 ICSI $1450.10
    Medicare Safety Net Refund
    IVF $271.60 ICSI $270.80

    Final Out of Pocket cost
    IVF $1179.50 ICSI $1179.30

    IVF or ICSI - Subsequent Treatment Cycles -In same calendar year.

    Payment to WFC prior to commencing treatment
    IVF $4720.00 ICSI $5055.00
    Medicare Rebate
    IVF $3078.90 ICSI $3413.90
    Initial Out of Pocket cost
    IVF $1641.10 ICSI $1640.10
    Medicare Safety Net Refund
    IVF $1312.88 ICSI $1312.08
    Final Out of Pocket cost
    IVF $328.22 ICSI $328.02

    Claim-Back Option
    Frozen-Thaw Embryo Transfer – Natural

    Payment to WFC prior to commencing treatment
    $1380.00
    Medicare Rebate
    $827.65
    Initial Out of Pocket cost
    $553.35
    Medicare Safety Net Refund
    $441.88
    Final Out of Pocket cost
    $110.47

    Frozen-Thaw Embryo Transfer – Programmed

    Payment to WFC prior to commencing treatment
    $1480.00
    Medicare Rebate
    $827.65
    Initial Out of Pocket cost
    $652.35
    Medicare Safety Net Refund
    $521.88
    Final Out of Pocket cost
    $130.47

    No-Safety-Net-Claim Option
    IVF or ICSI - First Treatment Cycle - No previous medical expense in same calendar year.

    Payment to WFC prior to commencing treatment
    IVF $1450.00 ICSI $1450.00
    Medicare Rebate
    IVF $3268.90 ICSI $3603.90
    Initial Out of Pocket cost
    IVF $1450.00 ICSI $1450.00
    Medicare Safety Net Refund IVF $0 ICSI $0
    WFC Refund
    IVF $750.00 ICSI $750.00
    Final Out of Pocket cost
    IVF $700.00 ICSI $700.00

    IVF or ICSI - Subsequent Treatment Cycles -In same calendar year.

    Payment to WFC prior to commencing treatment
    IVF $1450.00 ICSI $1450.00
    Medicare Rebate
    IVF $3078.90 ICSI $3413.90
    Initial Out of Pocket cost
    IVF $1450.00 ICSI $1450.00
    Medicare Safety Net Refund
    IVF $0 ICSI $0
    WFC Refund
    IVF $560.00
    ICSI $560.00
    Final Out of Pocket cost
    IVF $890.00 ICSI $890.00

    No-Safety-Net-Claim Option
    Frozen-Thaw Embryo Transfer – Natural

    Payment to WFC prior to commencing treatment
    $550.00
    Medicare Rebate
    $827.65
    Initial Out of Pocket cost
    $550.00
    Medicare Safety Net Refund $0
    WFC Refund
    $50.00
    Final Out of Pocket cost
    $500.00

    Frozen-Thaw Embryo Transfer – Programmed

    Payment to WFC prior to commencing treatment
    $650.00
    Medicare Rebate
    $827.65
    Initial Out of Pocket cost
    $650.00
    Medicare Safety Net Refund
    $0
    WFC Refund
    $50.00
    Final Out of Pocket cost
    $600.00



  2. #12
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    Emma, it would be cheaper for me to fly to Westmead and have treatment there than have it at my clinic (MIVF)...

  3. #13
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    Holiday and a baby ... they are non for profit so that why they can keep thier prices down

  4. #14
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    To give another perspective - if you look at it another way, your out of pocked cost is not determined by the Government, but by how much over the schedule fee your clinic chooses to charge. Most of the prices cited on this thread and by clinics are not the cost of a cycle as we know it, but are the clinics' administration charge. If you look at your Medicare statement, you will likely find that most of your substantive costs (eg, egg retrieval, and transfer) are actually bulk billed, i.e. fully funded by the Government. However, as these services are generally not carried out by your FS they get no money for them. The way the clinics make their profit is to charge several thousand dollars over the schedule fee for the admin item (which is 13209). This has been my experience with two clinics and I expect most of them do the same thing.

    Medicare cannot know in advance which items your clinic will choose to bill under or what amount above the schedule fee, if any, they will charge you. Only your doctor/clinic can provide this itemised information (I am yet to see any of them do this - possibly because they are only in a position to advise in respect of the items they actually bill, and not, eg, for the anaethetists, or for any services carried out by any other doctor - generally only individual doctors can bill for services they personally provide, so you will find you are charged several different items by different doctors at different times during your cycle.)

    The safety net amount and schedule fee are public documents. The legislative instruments are available via comlaw otherwise there is a fact sheet available which includes a table of benefits. This has already been posted on this forum so maybe search for "Medicare".

  5. #15
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    Access were consulted during the changes to the IVF rebates from Medicare so I don't think they can or will do much to change anything/lobby the government. I just hope it doesn't change to three strikes and you're out. That would mean the end for hope of having a baby for lots of couples around Aus.

  6. #16
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    Fang, I agree. I would be utterly appalled if the Govt changed to 3 strikes and your out (sorry, 3 strikes and you're out for them!). Medicare is for everyone, people access Medicare for things that we may never need to access, and rightly so, doesn't mean that they should be penalised because the 'majority' of the country doesn't have that same need. The Govt expects everyone to have 'one for mum one for dad and one for the country' yet clearly that's only for people that can have an easy sh*g and whoopsie i'm pregnant!!! The whole thing is a joke in my view.

    They say the caps will prevent clinics over charging - really? What a load of rubbish! My clinic's fees have increased and I have read others have too, there is no way the clinics are going to drop their fees! They are not going to charge based on what Medicare rebates, its not their problem.

    It all just makes me so cross

    Right I will step off my soapbox now, sorry for my rant

  7. #17
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    Hi Ladies,

    I'm in the middle of a punch up with Medicare at the moment. I'm normally reimbursed approximately $3,300. Yesterday they deposited $970...

    Cat

  8. #18
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    Quote Originally Posted by Cathrine View Post
    Hi Ladies,

    I'm in the middle of a punch up with Medicare at the moment. I'm normally reimbursed approximately $3,300. Yesterday they deposited $970...

    Cat
    Hi, out of interest, which clinic are you with and what were you charged by them?
    I'm was thinking of starting a thread to see who has made a claim this year and just how much was reimbursed. The amount you mention is close to what I'd normally get so I'm very interested to know.

  9. #19
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    Quote Originally Posted by Cathrine View Post
    Hi Ladies,

    I'm in the middle of a punch up with Medicare at the moment. I'm normally reimbursed approximately $3,300. Yesterday they deposited $970...

    Cat

    OMG Catherine that's a joke! I hope they can give you some explanation, no one else seems to want to, certainly not the Govt!!


 

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