Discount your Follistim injections cost even without insurance that covers infertility. Take advantage of insurance laws, leverage the tax code, and make a smart bet based on your projected success rate.
Spending for this fertility drug is often just the tip of the iceberg for couples trying to conceive. Along with taking Follistim, you may be taking other fertility medications, and undergoing other artificial reproductive procedures. Find several ways to cope.
- Average costs without insurance
- Finding coverage and using supplemental policies
- How to discount expenses by 1/3 using the tax code
Average Price of Follistim without Insurance
Follicle stimulating hormone (Follistim AQ) is used to help women develop and release mature eggs for use in artificial reproductive techniques. It is also used by men to improve sperm production. Other fertility medications may also be prescribed in combination with various infertility treatments.
Request an infertility loan to acquire the funding you may need. Most families taking Follistim do so without direct insurance payments. Most plans do not cover infertility.
Follistim prices and costs will vary based upon how you intend to use the drug therapy. For patients taking the hormone because they are unable to ovulate, lower doses are needed. An initial dose of 75 IU may be taken for up to 14 days. At the price of about $100 per vial, your costs are already at $1,400 for the first round of treatment.
Dosage may increase after the first two weeks by 50 IU per week, and prices climb in tandem. The maximum dose of a Follistim is 300 IU which is priced at $400 for a cartridge. Your weekly cost has now climbed to $2,800. Once your serum estradiol is greater than 2000 pg/ml you may then begin taking a second drug. Human chorionic gonadotropin (HCG) may be an additional expenditure.
Costs with IVF
Follistim may also be taken to stimulate follicles as part of an Artificial Reproductive Technique (ART) such as IVF or IUI. Dosage levels are higher when part of an In Vitro Fertilization cycle, but it is taken fewer times helping to moderate spending.
Costs, when combined with IVF, can climb beyond the reach of many couples. Many couples overlook how state infertility mandates work when focusing on the laws where they live. Since mandates apply in the employer’s headquarter state time spent researching laws may pay off.
Your doctor may be prescribing Follistim in conjunction with other infertility treatments, which your insurance plan may not cover. Money may be tight, and finite resources may hamper your efforts to bring home a baby.
Follistim Injections Costs with Supplemental Insurance
It pays to think beyond just your expenditures for Follistim injections alone. You may have other infertility treatment expenses as well. And we hope you get pregnant too! Speak to your embryologist and get a frank assessment of your projected success rate. If your condition warrants a good chance of a successful conception, bet along with the odds.
Buy short-term disability insurance before taking Follistim. Your pregnancy will present a new set of financial challenges: like lost maternity leave income, or extra medical expenses. The cash payments made directly to you for a normal pregnancy may be several multiples of what you must pay first in insurance premiums. Use the surplus as maternity income, or to offset all of your infertility treatment expenses.
Remember that when you stimulate your follicles you odds of multiple pregnancies are far greater than the average couple. Twins, triplets, and quad pregnancies are often high risk and may translate into lost income before delivery, and extra expenses for a long hospital NICU stay for your infants. Be prepared before beginning your next cycle. Extra benefits may be paid when your infant(s) are confined for medical reasons.
Follistim AQ Side Effects
The most significant and expensive side effect of Follistim is multiple births: twins, triplets, quads. Multiple pregnancies are often high risk and deliver preterm. That may mean unexpected medical expenses, additional lost income, and a big hospital bill if your preemies spend time in the NICU. Hospital indemnity insurance is a great way to offset these hidden costs.
Thinking ahead of the intended consequences of injecting Follistim or any fertility medication is one key to getting insurance to cover infertility treatments. You do not get direct reimbursement for Follistim – but get a return when it is successful.
Follistim side effects range from mild to severe. Patients experiencing one or more of these side effects may stumble across a hidden cost: extra medical expenses, and lost income. Some of the most common side effects include:
- Back Pain
- Breast cancer – abnormal cell growth may be enhanced
- Joint pain and swelling
- Mood swings
- Ovarian hyperstimulation syndrome (OHSS)
- Redness or pain at the injection site
- Weight gain or loss – new clothing may add to your expenditure
- Yeast infection
Any of these symptoms may become serious enough to stop you from working. You may be on the sideline for a day, a week, or a month. Lost income is a rare but important cost to consider. Since you are injecting Follistim AQ in order to get pregnant, make sure you protect your income. Your income will be secure if side effects impact your income, and the policy covers your maternity leave – which is like getting a big discount on your premium costs.
Discount Follistim by 1/3 Using the Tax Code
Discount your Follistim injections costs and other infertility treatment costs by 1/3 or with pre-tax dollars. You can use your employer’s Flexible Spending Account (FSA) to cut your Follistim prices, and provide you with help paying for all your infertility treatments at the same time.
Your Follistim injection costs for cartridges, vials and pens are tax deductible along with many other un-reimbursed medical expenses you may encounter while trying to conceive. Also once you become pregnant there may be expenses for prenatal care, hospital admission, well baby care, etc. There are two approaches to taking deductions. Know the pros and cons of each:
Schedule A Deductions
Take an itemized medical deduction on your IRS Schedule A. The first 10% of your adjusted gross income will be subtracted from the total of your total itemized medical expenses to determine your amount of tax savings.
For example, a couple with an AGI of $100,000 gets $0 of tax savings on the first $10,000 of infertility spending.
Flexible Spending Advantages
A Flexible Spending Account (FSA) allows you to realize tax savings on your very first dollar of infertility, and pregnancy-related expenses. You may also reduce the amount of other taxes you pay. An FSA may help you realize savings of 1/3 or more in taxes.
For example, a couple in the 25% federal income tax bracket paying FICA taxes of 7.65% saves a total of 32.65%. Contributions are capped at $5,000 per family (both spouses must contribute the full amount). A Flexible Spending Account can also function like an interest-free loan for your infertility treatment expenses.