Fertility Treatment Patient Resources for the Dallas - Fort Worth Area

We understand that the journey to parenthood can seem long, so we offer patient resources to help you navigate your way through this difficult process. The team at IVF Plano will offer support and guidance every step of the way. Review our educational materials and FAQs to find helpful information about infertility and IVF in Dallas, Plano and the surrounding area. In our Dallas fertility clinic, we also provide online registration, insurance basics, and a section dedicated to our
Out-of-Town Patients.

At IVF Plano, we are here for you. Don’t hesitate to

with any questions or concerns.

Becoming a Fertility Treatment Patient at IVF Plano

At IVF Plano, we are excited to offer you support and assistance on your path to becoming a parent! To get started, register online or call our office at
(972) 612-2500.

Register Online
We want to get to know you and your partner, and the best way for us to do that is to have you submit your paperwork online. You can submit the IVF Plano
New Patient Form electronically through our secure email server. Or, you can always fax it to us at 972-612-9601. Once we have received these forms, we will contact you in about 24 hours to let you know about your coverage and set up your first appointment.

Please don’t hesitate to pick up the phone and call us if you are having trouble with the online forms or have a quick question about the process.

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Insurance Plans Accepted by IVF Plano

IVF Plano accepts most insurance plans, including PPO, POS, and HMO plans. If you would like to verify that we can take your carrier, please contact our business department at 972-612-2500. For more detailed information, submit a New Patient Form online for a verification of benefits.

Common Insurance Plans We Accept:

  • Accountable (First Health) PPO
  • Aetna – PPO & HMO
  • Beechstreet PPO
  • Blue Cross/Blue Shield PPO/POS/HMO
  • Coalition America (Formally NPPN)
  • CCN PPO
  • ChoiceCare – Concentric Network PPO
  • ChoiceCare - PPO
  • Cigna PPO/HMO
  • Community Health Plan - PPO
  • Doctor and Patient IPN - PPO
  • First Health Network - PPO
  • Galaxy Health Network – PPO
  • Great West Open Access
  • Great West POS
  • Great West PPO
  • Galaxy Health Network – PPO
  • Healthcare Partners of ETX
  • Healthsmart – PPO
  • Humana/Choice Care PPO
  • IMS PPO
  • Medcorp southwest – PPO
  • Multiple Independent School Districts – PPO
  • PPONext
  • Richardson Independent School District – PPO
  • Texas Health Choice – PPO
  • Texas True Choice – PPO
  • Texas True Choice – Star Network
  • United Healthcare PPO/POS/HMO
  • USC Health Services - PPO
  • Principal Commercial PPO
  • PHCS PPO
  • Plano Independent School District
  • PlanVista – PPO
  • And MANY others!

The Verification Process
With verification of insurance, your carrier may require additional forms such as pre-authorization for infertility related services. We are happy to file the paperwork for you, but this information may take several days to complete and be returned to our office by your insurance company. To help expedite this you process, we ask that you secure any pre-certifications and referrals, when necessary, prior to your first appointment so that you can begin treatment as quickly as possible. The Insurance Benefit Verification Form can be a helpful resource in uncovering your exact medical benefits by giving you the right questions to ask. Also writing a letter to your insurance company outlining your treatment plan may also be helpful in gaining coverage for procedures and medications. You can use the letter templates: letter for requesting predetermination and letter requesting predetermination for drug coverage to help you with this task. If you have questions about your insurance coverage or the coverage letters, please call the business office at 972-612-2500; or contact your insurance provider if you have any questions about benefits and additional paperwork.

**NOTE- Some insurance plans will have IVF Plano listed as Dr James W. Douglas, MD, PA so be sure to ask for both names when verifing your insurance benefits

**For additional resources about insurance verification and pre-determination visit Fertility Lifelines at: http://www.fertilitylifelines.com/payingfortreatment/insurancecoverage.jsp

Although we have a great deal of experience with insurance verification, sometimes insurance companies will refuse payment of a claim or state conflicting information even after benefits have been verified. If you receive a denied claim or refusal of benefits, we recommend that you call the insurance provider or your human resources department for additional verification.

Additional Information on Insurance and Financing
In an effort to make infertility treatments less of a financial worry and to ease some of the stress that comes with treatment, our practice has contracted with a number of insurance companies who offer varying degrees of infertility treatment coverage. Please contact your insurance provider to determine whether they offer coverage for infertility treatment.

**NOTE- Some insurance plans will have IVF Plano listed as Dr James W. Douglas, MD, PA so be sure to ask for both names when verifing your insurance benefits

Med Loan Finance.com

www.medloanfinance.com 800-504-4053

Medical Financing.com
www.medicalfinancing.com 888-502-8085

Labs
Insurance companies usually require their members to use certain laboratories for diagnostic tests. In most cases, we cannot verify lab information along with medical coverage for fertility. Please inform our office staff which laboratory contracts with your insurance company to ensure that we send your lab orders to the correct provider. Unfortunately, once blood work is drawn, our staff can’t undo an error in the laboratory choice, and you will be responsible for denied lab tests, or high out-of-pocket co-pays.

Pharmacy Benefits
Some insurance companies require that you use a specialty or mail-order pharmacy for your infertility medications. This pharmacy benefit information may not appear on the medical card that you provide to our staff. If you know that you have this type of plan, please give us the appropriate paperwork or fax numbers to expedite your prescriptions, and we will see that your prescription goes to the correct provider.

IVF Plano works with several dependable specialty pharmacies that will double check prescription and medical benefits, as well as mail medications and supplies directly to your door. These specialty pharmacies have extensive knowledge concerning fertility therapy and will usually provide quick delivery of needed medication.

True mail order pharmacies, like Merck Medco, may have enrollment procedures that will require several weeks of processing before medications can be shipped. Make sure to begin the enrollment process for your mail order pharmacy as soon as possible so you do not experience a delay in receiving your medications.
Medical Records

IVF Plano is happy to provide copies of your medical records, but according to the rules of the Texas State Board of Medical Examiners (TSBME), we must charge a fee for this service. According to the TSBME, the charge for medical records is $25.00 for the first twenty (20) pages and then $ 0.15 per page thereafter. However, we will provide a copy your records for a flat rate of $25.00. Please make certain that you have completed a Medical Record Release Form before you request copies. Our office will collect the fee before we make any copies of your records.

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IVF Plano Serves Infertility Patients Outside the Dallas - Fort Worth Area

Due to our nationally recognized pregnancy rates, Dr. Douglas and the staff at IVF Plano see many patients from outside of the Dallas area and the state of Texas. We feel comfortable working with patients and partners who must travel here to see us.

To make your stay in Dallas more enjoyable, we have included some information about where to stay and what to do.

Hotels near our Office:

The Westin Stonebriar
1549 Legacy Dr, Frisco, TX, 75034
Hotel Info: 866-539-0036
http://www.starwoodhotels.com/westin/index.html

Courtyard by Marriott Plano Legacy Park
6840 N Dallas Parkway, Plano, TX, 75024
Hotel Info: 866-539-0036
http://www.marriott.com/default.mi

Hyatt Place Plano
3100 Dallas Pkwy, Plano, TX, 75093
Hotel Info: 866-539-0036
http://www.hyatt.com/hyatt/index.jsp

Information about the city of Dallas
http://www.dallas.com/

Information about the city of Plano
http://plano.com/

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IVF Plano Fertility Treatment Patient FAQs

I’ve already gone through a lot of tests with my Ob-Gyn. Do I have to repeat them all again with IVF Plano?

No. If you have already begun fertility testing, please ask your Ob-Gyn to forward your medical records to our office. Once we receive this information, Dr Douglas can determine if you will need any additional testing.


How do I know if I need a referral to IVF Plano?

Call the member number on the back of your insurance card to verify whether or not your plan requires that you obtain a referral to see a specialist. If you need a referral, contact your Primary Care Physician or Ob-Gyn to request a referral before your first appointment.


How long will the first visit take and should my partner come with me?

The actual time can vary due to the specific circumstances of your situation. In general, most new patient consults last between 45 minutes and one hour. We recommend that you and your partner both attend the appointment.


How will I know that you have received my online paperwork?

You should get immediate confirmation when the email is sent to our office. Also, you can expect to hear from our office about your benefits in 24 to 48 hours. If for some reason you do not hear from us within this time period, please feel free to contact our office.

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