Insurance Coverage Cost:保険適応価格
1.Assisted reproductive medical management fee: 750yen（管理料）（Per IVF cycle） ※Requires couple's consent each time.
Medicine (Insurance):Approx. 10,000 to 30,000 yen
Ultrasound, hormone test (insurance):Approx. 10,000 yen

2.Basic fee for egg collection: 9600 yen（採卵基本料） 2.Egg collection day( B to E are added for each egg collection)※Anesthesia is not included.
A:0
9,600yen(Only basic fee）
B:1 egg collected
7,200yen(Total: 16,800 yen)
C:2-5 eggs collected
10,800yen (Total: 20,400 yen)
D:6-9 eggs collected16,500yen (Total: 26,100yen)
E:10 or more
21,600yen (Total: 31,200 yen)
3.Fertilization method(受精法） 3~6.Explanation cryopreserved embryo day

Fresh sperm

3,000yen

3-1.Mediated sperm (sprinkled) 9,600 yen (any quantity)（IVF）
3-2.Intracytoplasmic sperm injection (ICSI)

A:1 egg collected
11,400yen
B:2-5 eggs collected17,400yen
C:6-9 eggs collected27,000yen
D:10 or more
35,400yen※If both are performed (Split-ICSI),ICSI fee from A to D+half of the medial sperm (4,800 yen)
※Oocyte activation (calcium ionophore):3,000 yen※Additional medical treatment:IMSI(own cost)aditional 20,000yen+ ICSI fee from A to D

4.Fertilized egg culture（受精卵培養）(starting the day after egg collection: by number of eggs fertilized)
A:1 egg collected13,500yen
B:2-5 eggs collected18,000yen
C:6-9 eggs collected25,200yen
D:10 or more
31,500yen※Additional medical treatment:Time-lapse culture(own cost)（ﾀｲﾑﾗﾌﾟｽ）
additional 30,000 yen

5.Blastocyst culture addition（胚盤胞培養）(Number of blastocysts transferred to blastocyst culture)
A:1 egg collected
4,500yen
B:2-5 eggs collected
6,000yen
C:6-9 eggs collected
7,500yen
D:10 or more
9,000yen

6.Embryo cryopreservation（胚凍結保存）

A:1 egg collected
B:2-5 eggs collected
C:6-9 eggs collected
D:10 or more

15,000yen
21,000yen
30,600yen
39,000yen

7.Frozen embryo transfer day
7.Embryo transfer(胚移植）
A:Fresh embryo transfer
22,500yen※3~5.Embryo transfer day※6.Surplus embryo freezing(another day) 余剰胚凍結あれば別日
B:Frozen thawed Embryo Transfer
36,000yen※AHA（Assisted Hatching）:3,000yen＊From the second fresh※GLUE（Hyaluronic acid culture fluid added）:3,000yen

Additional medical treatment(own cost)

ERA
EMMA/ALICESEET
EM scratch

130,000yen
60,000yen
50,000yen
30,000yen

Own cost
Sperm freezing

23,100yen

embryo transfer,
AHA and GLUE are available
upon request.

English Additions to IVF （英語加算）
Egg collection cycle(採卵）: 16,500 yen for the first visit of the cycle and 16,500 yen on theday of egg collection(TTL 33,000 yen).
Transfer cycle(移植）: 11,000 yen for the first visit of the cycle and 11,000 yen on the day oftransfer (TTL 22,000 yen).

＊The age on the start date of treatment is 6 times if you are under 40 years old,3 times for those over 40 and under 43 years of age.
(40歳未満である場合は6回, 40歳以上43歳未満は3回保険診療可)＊The age at the start of treatment means the age at the start of treatment for the first embryo transfer,the age at which the plan for the relevant egg collection was created.
If this is the second or subsequent transfer using frozen embryos, the age will be the age at which the transfer schedule was created.
In the case of a new egg collection after the previous frozen embryos have been lost, the age will be the age at which the egg collection schedule was created.
(治療開始日とは、初回移植の場合は採卵にかかる計画作成日、2回目以降移植の場合は移植計画日、以前の凍結胚がなくなり新たな採卵をした場合は採卵計画日）＊The count is limited by age in "transfers". (年齢制限の回数は移植回数）＊If egg collection is performed with insurance, additional egg collection cannot be performed until all frozen embryos are transferred. (全ての凍結胚移植後に追加採卵できる）＊Egg collection for future use is not covered by insurance. (移植の予定が未定の場合は保険適応外）＊Own cost treatments and insurance cost treatments cannot be mixed during the treatment cycle. （混合診療不可）＊After the date of pregnancy determination, treatment is basicaly at your own cost.(妊判以降自費）＊High-cost medical care reimbursement system is separately available. （高額療養費制度が使える）
Fertility Clinic Tokyo 2024.5.28改

High-Cost Medical Expense Benefit:高額療養費制度について(Eligibility Certificate for Ceiling-Amount Application)
If you are under 70 years of age and you apply for a high-cost medical expense benefit from your health insurance provider beforehand, your monthly payment at the cashier’s desk
will be no more than a specified amount.
If you have already paid without presenting an “Eligibility Certificate for Ceiling-Amount Application” or an “Eligibility Certificate for Ceiling-Amount Application and Reduction of theStandard Amount of Patient Liability”, you can claim a refund from your insurance provider.
Coverage under this system is, however, limited to the insurance benefits of your medical expenses.
Please note that extra charges for rooms, hospital gowns, and meals, etc. are not covered.
In addition, this system is not applicable if your medical expenses do not exceed the limit of patient liability.
We recommend that you apply for this system if you will be admitted for a long period of time or if your medical expenses are expected to be high.
（Procedures）
You must obtain an “Eligibility Certificate for Ceiling-Amount Application” or an “Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability”
by applying through your health insurance provider beforehand. Please present this certificate at the reception desk, and your monthly payment will be no more than a specified amount.
If you delay presenting the certificate, you may not be covered by this system.
If you have any questions about the necessary procedures for applying and what happens if you transfer to another hospital, please ask your health insurance provider.
高額療養費制度(限度額適用認定証）について 厚生労働省HPより
Ex①)Egg collection ~ Fresh embryo transfer. Approx 130,000-310,000yen.
(新鮮肺移植の場合）
Ex②)Egg collection +Frozen embryo transfer. Approx 220,000-380,000yen.
(全胚凍結から凍結胚移植の場合）
Min: １Egg/IVF/3days culture Embryo transfer without Embryo glue and AHA（最小:卵子1つを体外受精・初期胚でグル無移植）
Max: More than 10 eggs/5days culture/embryo glue/AHA/Additional fee for IMSI・Ca ionopfore・TESE sperm・Time-lapse（最大:10個以上の卵子をIMSI.胚盤胞培養。先進医療使用）