Checklist for registration with the IVF fund

Checklist for registration with the IVF fund
Dear couple,
1) For the registration with the IVF fund we need the following documents prior to the first
ultrasound.. You can personally hand them in at the Kinderwunschzentrum or send them via
post or mail:
0
Informed consent (contract
contract signed by both partners)
partners for the treatment with in-vitro
in
fertilization (IVF/ICSI)
(last page as scan/copy
copy is sufficient for the registration - the complete IVF/ICSI
contract as an original copy has to be handed in at the latest on the day of the ovum
pick-up!)
0
Passports of both partners (scan / copy)
0
Marriage certificate or
o certificate of registered partnership (scan
can / copy)
0
For citizens of non EEA countries as well as citizens of non EU countries we need a
residency title issued by an Austrian authority. According
Accor
to § 8 section 1 Z 1, 2, 3, 7
or 8 of the
he settlement and residence act - (scan or copy of the card))
0
Notary deed for existing cohabitation or for the usage of donor sperm (original copy)
0
Proof of insurance:
o
o
0
patients insured in Austria:
Austria please provide your social security numbers
number
patients who are solely privately insured:
confirmation of cost coverage of 17,5% = „opting out“
(form
form available in our office)
office OR
cost rejection letter from the insurance = self-paying
paying patient
(form
form available in our office)
office
Proof of medical indication (at least 1 point has to be fulfilled!)
o
o
o
Acknowledgement of closed or inadequate functioning of the fallopian tubes
Operational report or histology in the case of endometriosis
Medical report off existing PCO-syndrome
PCO
o
1 spermiogram (not
not older than 2 years if one of the above indications exists)
exist
or
2 spermiograms in cases of pathospermia
(4 weeks minimum distance,
distance not older than 2 years)
o
Every attempt has to be registered and completed INDIVIDUALLY.
This is why we need a new and signed contract for EVERY attempt / following attempt!
Kinderwunschzentrum Goldenes Kreuz
Dr. Obruca & Dr. Strohmer partnership
T +43 - 1 - 40 111 - 5400, F - 5401
Lazarettgasse 16, A - 1090 Vienna
[email protected]
www.kinderwunschzentrum.at
At the starting date of every attempt the female partner mustn’t
mustn be older than 40 years
(effective date = 40th birthday) and the male / female partner mustn’tt be older than 50 years
(effective date = 50th birthday).
The ongoing
ing treatment can be finished with the financial support of the IVF fund within 3
months iff one of both partners reaches the age limit during the attempt. After that a further
attempt with the support of the IVF fund is not possible!
2) We can only sign you up for the IVF fund if all the documents are fully available. If
documents are still missing your treatment will be delayed!
3) Approximately one week after registration for the IVF fund
f
you will receive the payment
bill with the 30% deductible from the accounting office of the Goldenes Kreuz Privatklinik.
You will find the amount (depending on age and treatment form) noted in the informed
consent.
Should you not receive an IVF fund confirmation including a payment bill within
approximately 2 weeks of handing
handin in the complete documents please inform our office.
4) As soon as the deductible
ductible has been paid the IVF fund
f
registration is complete and you can
start the treatment by requesting the necessary medication from our clinic.
For organizational questions regarding the IVF fund as well as the
e registration please
contact our office team (Tel: 01 / 40 111 - 5400, or [email protected]).
[email protected]
For questions regarding insurance, claim assertions and similar please
lease contact
co
Mrs. Mag.
Hager-Ruhs
Ruhs in the federal ministry of health
h
under the telephone number T +43 - 1 - 711 00.
***We
We want to inform you that for the first time it is possible to get the IVF fund deductible
refunded
d by a private health insurance. Allll the conducted attempts will be supported as well
as costs that affect your partner such as the testicular biopsy (TESE).
Inform yourself online at www.supermed.at
www.
and calculate your individual premium!***
premium!*
Thank you for your help and all the best for your upcoming treatment!
Kind regards,
your team at the Kinderwunschzentrum Goldenes Kreuz
Kinderwunschzentrum Goldenes Kreuz
Dr. Obruca & Dr. Strohmer partnership
T +43 - 1 - 40 111 - 5400, F - 5401
Lazarettgasse 16, A - 1090 Vienna
[email protected]
www.kinderwunschzentrum.at