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National Program
Beneficiaries of the Subprogram
Eligibility Criteria
- infertile couples who have an indication to perform the IVF / ET procedure, according to the provisions of annex no. IV.10 to this Annex to the Technical Regulations, which forms an integral part thereof;
- the members of the couple have the quality of insured in accordance with the provisions of art. 211 para. (1) of Law no. 95/2006 on health care reform, as subsequently amended and supplemented;
- autologous couple (excludes donation of oocytes, sperm or surrogate mother);
- the woman's age between 24 and 40 years;
- the body mass index of the woman with values between 20 and 25;
- ovarian reserve within normal limits tested by AMH value> 1.1 ng / ml.
- the requesting couple shall submit to the premises of one of the health units implementing the sub-program a file containing the following documents:
- The home address;
- Mobile phone number;
- Mailing address;
1.8. Description of the file documents;
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- The medical registrar verifies the existence of all the documents in the file according to the description, compares the copies of the identity documents with the original documents and attests by signature the conformity;
- The complete file containing all the documents referred to in point 1 shall be recorded in chronological order in a register of the documents of the IVF / ET procedures within the subprogramme, drawn up, completed, kept and archived by the health unit; the registration number assigned by the health unit for the submitted file shall be communicated in writing to the applicants;
- The files submitted within one month are evaluated by a commission of the health unit that meets in the first 5 days of the current month for the previous month. The composition of the commission is established by the decision of the legal representative of the health unit and will have at least three members, including an obstetrician-gynecologist with competence or certificate of complementary studies in the field of couple infertility treatment and medically assisted human reproduction and an embryologist with European certification. in the field. The result of the evaluation of the files shall be recorded in a report which, after being signed by all members present of the commission, shall be recorded and kept at the health unit.
- The Commission shall approve the files which meet all the legal conditions for inclusion in the sub-program, in the chronological order of the registration of the files and within the limits of the funds available for this purpose. If the applications for inclusion in the subprogramme
- IVF / ET exceed the approved funds, the commission will draw up a waiting list that is registered and kept at the headquarters of the health unit. The list shall be regularly updated either by including new approved dossiers or by excluding dossiers in one of the following situations:
- The couple benefited from the IVF / ET procedure;
- The ovarian stimulation protocol was not initiated within 90 days of the registration of the commission's decision to include the couple in the sub-program at the health unit;
- The couple gave up the IVF / ET procedure with the written notification of the health unit;
- The result of the evaluation of the dossier shall be communicated in writing to the correspondence address recorded in the application referred to in point 1, as follows:
- If the ovarian stimulation protocol prior to the IVF / ET procedure is not initiated within 90 days of the registration of the decision at the health unit, the decision loses its validity.
Minimum Set of Paraclinical Investigations Required for Inclusion in the IVF / ET Subprogram
1. In the Last 3 Months
- TSH
- Prolactin
- Hysteroscopy or sonohysterography
- Transvaginal ultrasound
2. In the Last 6 Months
- Anti HIV
- Ac HCV
- Ac HBc
- Ag HBs
- VDRL or TPHA
3. In the Last 12 Months
- APTT
- CBC
- Fibrinogenemia
- Serum creatine
- Serum urea
- Glucose
- TGO and TGP
- CMV IgG
- IgM and IgG toxoplasma
- Chickenpox IgG
- Rubella IgG
- Herpes IgG
4. No Time Limit
- Blood group
- Rh
Additional Costs Supported By Patients Accepted In The 2016 IVF / ET National Subprogram
- The specific activities of the National IVF / ET Subprogram settled by the Ministry of Health within the program are:
- oocyte sampling by follicular puncture, performed under local anesthesia or sedation, as appropriate.
- sperm processing for the IVF / ICSI / IMSI procedure,
- oocyte insemination for spontaneous fertilization,
- embryo culture 72 hours,
- embryo transfer,
- monitoring the evolution of the case (performing serum β HCG test two weeks after embryonic transfer, gynecological and ultrasound consultation, 6 weeks after oocyte insemination for spontaneous fertilization, if β HCG test is negative, ultrasound monitoring of pregnancy 6 weeks after oocyte insemination, if the β HCG test is positive).
- Previous activities specific procedures in the Subprogram (dossier evaluation, preliminary consultation, stimulation schedule, ultrasound monitoring of ovarian stimulation treatment) are charged with the amount of 600 RON
- General anesthesia (including pre-anesthesia consultation) in order to take oocytes by ovarian puncture and post-procedure recovery (including medication) are charged with the amount of 1.000 RON
- Psychological counseling is charged with the amount of 100 RON.
- ICSI procedure (intracytoplasmic sperm injection) is charged with the amount of 1.000 RON, iar IMSI procedure (intracytoplasmic injection of morphologically selected sperm) is charged with 1.500 RON (if there is a medical indication).
- The selection of embryos on morphological criteria by timelapse-embryoscope technology is charged with 500 RON (to cases to which it may apply).
- For the other procedures (hormonal analysis, cryogenesis, cryostocking, assisted hatching, PGS, PGD) the tariffs remain unchanged.
Minimum Set of Paraclinical Investigations Required for Inclusion in the IVF / ET Subprogram
2. In the Last 6 Months
- Microbiological examinations:
- Spermogram - performed in the health unit where he submitted the file
- Semen culture test
4. No Time Limit
- Hematological investigations:
- Blood group
- Rh
Medical Team Involved in the National IVF / ET Subprogram
Budget allocated to SC FERTIGYN SRL în cursul anului 2023, pentru desfășurarea Subprogramului Național FIV/ET prin contractul încheiat cu Direcția de Sănătate Publică a Județului Iași este de 550.000 de lei.
Budget allocated to SC FERTIGYN SRL în cursul anului 2022, pentru desfășurarea Subprogramului Național FIV/ET prin contractul încheiat cu Direcția de Sănătate Publică a Județului Iași este de 1.200.000 de lei.
Budget allocated to SC FERTIGYN SRL during 2019, for the development of the National IVF / ET Subprogram through the contract concluded with the Public Health Directorate of Iași County is 424,500 lei.
Budget allocated to SC FERTIGYN SRL during 2018, for the development of the National IVF / ET Subprogram through the contract concluded with the Public Health Directorate of Iași County is 433,000 lei.
2018
Month | Files submitted | Approved files | Unapproved files | Files pending | IVF procedures performed | Monitoring cases up to 6 weeks |
---|---|---|---|---|---|---|
JANUARY | 4 | 4 | 0 | 0 | 0 | 0 |
FEBRUARY | 6 | 6 | 0 | 0 | 0 | 0 |
MARCH | 12 | 12 | 0 | 0 | 3 | 0 |
APRIL | 10 | 10 | 0 | 0 | 5 | 1 |
MAY | 13 | 13 | 0 | 0 | 12 | 2 |
JUNE | 13 | 13 | 0 | 0 | 8 | 11 |
JULY | 8 | 8 | 0 | 0 | 14 | 2 |
AUGUST | 3 | 3 | 0 | 0 | 12 | 9 |
SEPTEMBER | 1 | 1 | 0 | 0 | 9 | 5 |
NOVEMBER | 0 | 0 | 0 | 0 | 4 | 5 |
DECEMBER | 0 | 0 | 0 | 0 | 3 | 4 |
TOTAL | 70 | 70 | 0 | 0 | 70 | 70 |
Budget allocated to SC FERTIGYN SRL during 2017, for the development of the National IVF / ET Subprogram through the contract concluded with the Public Health Directorate of Iași County is 402,000 lei.
2017
Month | Files submitted | Approved files | Unapproved files | Files pending | IVF procedures performed | Monitoring cases up to 6 weeks |
---|---|---|---|---|---|---|
JANUARY | 0 | 0 | 0 | 0 | 0 | 0 |
FEBRUARY | 0 | 0 | 0 | 0 | 0 | 0 |
MARCH | 0 | 0 | 0 | 0 | 0 | 0 |
APRIL | 6 | 6 | 0 | 0 | 0 | 0 |
MAY | 16 | 16 | 0 | 0 | 3 | 0 |
JUNE | 12 | 12 | 0 | 0 | 4 | 1 |
JULY | 5 | 5 | 0 | 0 | 15 | 0 |
AUGUST | 4 | 4 | 0 | 0 | 1 | 10 |
TOTAL | 43 | 43 | 0 | 0 | 23 | 11 |
Budget allocated to SC FERTIGYN SRL during 2016, for the development of the National IVF / ET Subprogram through the contract concluded with the Public Health Directorate of Iași County was 310,000 lei.
2016
Month | Files submitted | Approved files | Unapproved files | Files pending | IVF procedures performed | Monitoring cases up to 6 weeks |
---|---|---|---|---|---|---|
APRIL | 0 | 0 | 0 | 0 | 0 | 0 |
MAY | 1 | 1 | 0 | 0 | 1 | 0 |
JUNE | 2 | 2 | 0 | 0 | 1 | 0 |
JULY | 0 | 0 | 0 | 0 | 0 | 0 |
AUGUST | 6 | 6 | 0 | 0 | 1 | 1 |
SEPTEMBER | 18 | 18 | 0 | 0 | 4 | 1 |
OCTOBER | 17 | 16 | 1 | 0 | 6 | 3 |
NOVEMBER | 6 | 6 | 0 | 0 | 16 | 4 |
DECEMBER | 0 | 0 | 0 | 19 | 17 | 22 |
TOTAL | 50 | 49 | 1 | 19 | 47 | 31 |