You are a heterosexual or lesbian couple and you want a baby. For more than a year this wish has remained unfulfilled. The medical clarification of the causes of your infertility has shown that pregnancy can only be achieved with a modern fertility treatment. Social security agencies do not cover the costs of these treatments. For this reason, since the year 2000, fertility couples have been able to benefit from the IVF Fund, which supports the financing of IVF treatment. The Fund will pay 70% of the costs if certain conditions are met.
The IVF Fund Act provides for the following conditions:
The appropriate diagnosis must be determined by a specialist before the fertility treatment begins.
If a sterilization has been carried out by one of the partners at its own request, there is no right to co-financing by the IVF Fund. The claim can be asserted, however, if the sterilization has been carried out for medical reasons.
At the beginning of the fertility treatment, the woman who intends to deliver the child may not have reached the age of 40. The man or the partner may not have exceeded the age of 50 yet. If the age limit is exceeded during the treatment, the IVF funds will cover the costs of the ongoing treatment. Support for further treatment by the IVF Fund is then no longer possible.
Both partners must have proof of performance.
This can be issued by:
Persons who have statutory health insurance in other EU countries or in Switzerland must submit a form S 1 issued by their respective insurance if they live in Austria. If you live in EU / EEA countries, you need form S2. These forms guarantee that the costs of the IVF treatment are borne by the health insurance funds. In cases in which private insurance companies do not issue a consent to reimbursement of costs, provided that all the other eligibility requirements for both partners of the couple exist, that portion of the costs can be borne by the couple themselves after examination and approval by the IVF fund. This consent must be obtained by the couple before the start of a trial.
Entitlement to costs under the IVF Fund exists for:
"The fulfillment of your desire to have a child should not fail because of financial difficulties. Therefore, we are also in the financing of your treatment advisory and support to the side. "
The IVF Fund will cover the pro-rata costs of conducting IVF, ICSI and cryosamples (if more embryos are fertilized and cryopreserved for later testing), as well as MESA (epididymal sperm retrieval) and TESE (testicular sperm retrieval) ).
The costs of providing donor sperm or donor egg cells are not co-financed by the IVF Fund.The practice of insemination (insertion of semen into the woman's uterus) is also not financially supported.
In principle, the IVF fund assumes the proportionate costs of a maximum of four attempts per pair. A trial is considered to be a complete course of treatment from the time the IVF center is actually received (first-time prescription or administration of medicinal products for women) to proof of pregnancy or pregnancy that has not occurred according to the provisions of the IVF Fund Law.
An aborted treatment cycle due to lack of success should be considered as an attempt. However, if an attempt for medical reasons has to be discontinued after oocyte retrieval and any cryopreserved (frozen) embryos obtained are used in the subsequent treatment cycle, this is only an attempt. Otherwise, each treatment cycle using cryopreserved embryos kept from a previous completed trial is considered a separate trial.
The assumption of costs for more than four attempts presupposes that at least one pregnancy could be brought about successfully by methods of IVF. If one of the attempts is successfully completed and a pregnancy is brought about in accordance with the criteria of the IVF Fund Act, the full claim to reimbursement for four attempts resumes after this attempt.
If you do not meet the requirements of the IVF Fund, you will automatically be considered a private pensioner.