State Contribution in In Vitro Fertilization and Vaccination Procedures is subject to certain rules by regulation. The couple must obtain a Committee Report in order to benefit from state aid for both IUI and In Vitro Fertilization treatment. However, the institutions authorized to issue this report are specific.
While private hospitals with SSI agreements can also report for insemination or ovulation treatment (ovulation induction), only University Hospitals and state hospitals providing training can report for state aid in In Vitro Fertilization Treatment.
Couples who have received a committee report for in vitro fertilization treatment can apply to our hospital and benefit from their reports, because our hospital has an agreement with SSI (Social Security Institution) in all branches.
The latest regulation on this subject introduces the following rules:
1)-If the procedures before in vitro fertilization treatment are performed on women who are over 23 years of age and under 39 years of age, the costs are covered by the Institution.
Classic ovulation induction
(1)-For each cycle (treatment trial) a medical board report including a gynecologist and obstetrician will be prepared. The report will indicate the number of cycles and the necessary medications will be prescribed by the gynecology and obstetrics specialist.
(2)-In the report; The diagnosis, the treatment to be applied, and the daily and maximum doses of the drugs to be used will be stated.
(3)-Gonadotropin costs to be used for a maximum of 2 (two) cycles and up to 3000 units in total are covered by the Institution. Gonadotropin fees for classical ovulation induction treatment performed after two applications (cycles) are not paid.
(4)-The HCG (Human chorionic gonadotropin) dose used for ovulation trigger is outside the maximum dose and cannot exceed 10000 units. If urinary HCG is used, it can be prescribed without requiring a report.
Intra uterine insemination (IUI)
(1)-The criteria determined for in vitro fertilization treatment procedures are also valid for intrauterine insemination (artificial insemination - Vaccination).
(2)-The HCG (Human chorionic gonadotropin) dose used for ovulation trigger is outside the maximum dose and cannot exceed 10000 units. If urinary HCG is used, it can be prescribed without requiring a report.
In vitro fertilization treatment procedures
In vitro fertilization procedures performed for the treatment of a disease
(1)-If the patient has a child and its treatment is not possible with any other medical method and it is deemed medically necessary, preimplantation genetic screening is performed for the treatment of this child and the birth of a suitable stem cell donor sibling is carried out on behalf of the patient child by the health boards of tertiary health care providers with Bone Marrow Transplantation Centers.
(2)-Based on the health board report in question, families can apply to one of the assisted reproductive treatment centers (in vitro fertilization center) contracted with the Institution.
(3)-The drugs to be used in in vitro fertilization treatment will be prescribed by gynecology specialists at the assisted reproductive treatment center where in vitro fertilization treatment is performed, based on the health board report in question. The cost of gonadotropin to be used for each in vitro fertilization trial, up to a total of 3000 units, is covered by the Institution.
Other in vitro fertilization treatment procedures
(1)-If the universal health insurance holder is a woman, provided that he or she is married but does not have a surviving child with established lineage, excluding adopted children, if the universal health insurance holder is a woman, his/her dependent wife is the one who is obliged to take care of him if he is a man;
a) After the medical treatment, a medical board report has been issued stating that she cannot have children with normal medical methods and can only have children with assisted reproduction method.
b) Must be over 23 years old and not older than 39 years old.
c) Documentation by the health boards of the health service provider contracted with the Institution that there has been no result from other treatment methods in the last three years.
b) The center where the application is carried out has a contract with the Institution.
e) If the conditions are met, such as being a universal health insurance holder or a dependent for at least five years and 900 days of universal health insurance premium days, expenses related to assisted reproductive method treatments are covered by the Institution, limited to a maximum of two attempts.
(2)- In vitro fertilization treatments previously paid by the social security institutions transferred to the institution are taken into account in calculating the number of procedures.
(3)- The health board report to be issued for in vitro fertilization treatment will be prepared by health committees formed with the participation of two gynecology and obstetrics specialist physicians and a urology specialist physician in tertiary health institutions that have a gynecology and obstetrics clinic and a urology clinic (including gynecology and obstetrics hospitals that do not have a urology clinic but provide training where a urology specialist physician serves as a consultant). In the health board reports, in addition to the patient's age and identification information, the diagnosis, indication, treatment to be applied, daily and maximum doses of the drugs to be used will also be stated.
(4)- In medical board reports, it is sufficient to state that no results have been obtained from other treatment methods in the last three years, and diagnostic documents and information will not be sought separately in the annex or report. However, these documents must be included in the patient file and submitted when necessary. In addition, whether married couples have children or not and a copy of the birth certificate for the spouses will be kept in the patient file kept at the center.
(5)- The drugs to be used in in vitro fertilization treatment, provided that they are included in the drug lists annexed to SUT, will be prescribed by gynecology specialists at the assisted reproductive treatment center where in vitro fertilization treatment is performed, based on the medical board report.
(6)- Gonadotropin costs to be used for a maximum of 2 (two) cycles and up to 6000 units in total will be covered by the Institution.
(7)- If the woman who starts in vitro fertilization treatment is over 39 years old before the trial, the costs of assisted reproductive treatment will not be covered by the Institution, even if the treatment has been started before.
Example; In order to cover the in vitro fertilization treatment expenses of the woman born on March 8, 1985; Treatment must have been completed after 08 March 2008 and before 08 March 2024.
In vitro fertilization treatment transaction fee and payment principles
(1)- In vitro fertilization treatment is paid based on the price specified in the ANNEX-9 List of the SUT annex. At the price; Ovulation induction, oocyte aspiration, sperm-oocyte preparation and incubation, embryo transfer, ICSI (micro injection), invasive sperm retrieval methods within the scope of in vitro fertilization treatment, examination and analysis fees for women and men before the in vitro fertilization procedure and all kinds of consumables used are included.
(2)- Medicines used in in vitro fertilization treatment are not exempt from co-payment.
(3)- In the in vitro fertilization treatments specified in article (10.2.1), the embryo freezing fee is paid separately for each attempt, and in the in vitro fertilization treatments specified in article (10.2.2), only for the first attempt, up to a maximum of one year.
(4)- In assisted reproductive treatment centers contracted with the institution, it is mandatory to keep records of all medical procedures performed within the scope of in vitro fertilization and to submit the records during the audit. The center manager and the license (certificate of conformity) holders are jointly and severally responsible for keeping and preserving these records accurately and healthily.