Complete Guide to IFC IVF Center in the United States: Process, Core Advantages, and Precautions

INCINTA Fertility Center (California Torrance, led by Dr. James P. Lin) and Reproductive Fertility Center (California Corona, led by Susan Nasab, MD, abbreviated as RFC) in the United States consistently rank among the top cycle centers in the country, attracting a large number of Chinese families to complete assisted reproduction in the United States. This article takes INCINTA as the main perspective to systematically sort out the entire process, core advantages, and easily overlooked details of going to the United States, helping readers turn "wanting to go" into "doing it".

1、 6 cognitions that must be clarified before going to the United States

1. The United States implements a dual level regulation of "federal+state", with the FDA responsible for infectious and genetic screening, and state health agencies responsible for clinical licensing. Both INCINTA and RFC hold full licenses from California.
2. There is no concept of "package success" in the United States. The CDC publishes an annual report on the success rate of assisted reproductive clinics. The latest version shows that the single cycle live birth rate of the INCINTA<35 age group is 56.7%, while the RFC is 54.1%, both higher than the national average of 47.3%.
3. It is recommended to apply for B1/B2 visa, honestly disclose the medical purpose, bring a hospital appointment letter, proof of funds, and itinerary, with a pass rate of over 90%.
4. The medical expenses in the United States are transparent but itemized, with separate procedures for ovulation induction, laboratory testing, anesthesia, embryo testing, and cryopreservation. It is essential to obtain a CPT code for the convenience of returning to Reimbus for commercial insurance.
5. American pharmacies and clinics are separated, and ovulation promoting drugs need to be purchased at designated pharmacies themselves. Common brands include Gonal-F, Menopur, and Cetrotide, with a price range of $4000-7000.
6. The United States recognizes the legal status of "Intended Parents", and California's Family Law Section 7613 clarifies the ownership of embryos. The birth certificate can directly write the parents' names without the need for subsequent adoption procedures.

2、 Full process timeline (taking INCINTA as an example)

3、 Cost breakdown and payment techniques

INCINTA 2024 Package Price: Promotion+ICSI+PGT-A+First Year Freezing=$18900; The RFC is $17600. The main difference lies in the depreciation of laboratory equipment and Time lapse incubators. The following tips can save $2000-4000:

• Medication: Go to Costco Specialty Pharmacy with a prescription, Gonal-F 900IU is about 18% cheaper than clinic pharmacies.
• Additional discounts: INCINTA collaborates with Citibank to offer a 3% credit card deposit for a one-time full payment with UnionPay credit card, up to a maximum of $600.
• Frozen renewal: Free for the first year, INCINTA $850/year for the following year, RFC $800/year, with a one-time purchase of 5 years and a 20% discount.
• Multiple transplantation: If implantation is not completed for the first time, INCINTA provides a "Second Migration Voucher" of $2900 (including thawing, transplantation, and basic blood tests), which must be used within the first year of diagnosis.

4、 Comparison of core hardware advantages

5、 Law and documents: Birth certificate, passport, travel document

California allows for "Pre Bird Order", which can be applied to the court at 24-28 weeks of pregnancy. The INCINTA partner lawyer has a fixed fee of $3500, including:

• Draft legal documents that specify Intended Parents as the sole legal parents;
• Appearing in court once, after the judge signs, the hospital receives a court order, and the birth certificate directly writes the parents' names;
• Urgent Social Security Number, available for collection within 3 days.

The order of obtaining documents after birth is: birth certificate → SSN → US passport → Chinese travel document. The total time is about 18 working days, and INCINTA's cooperative travel agency can handle it on behalf, with a package price of $1200.

6、 10 details that are often overlooked

1. Drinking ≥ 2L of water and 30g of protein powder daily from the 5th day of ovulation promotion can reduce the incidence of ovarian hyperstimulation.
2. On the day of egg retrieval, wear a front button shirt to avoid pulling the abdomen after surgery.
3. Avoid taking hot baths 48 hours before transplantation, as a temperature increase of 0.5 ℃ can affect endometrial blood flow.
4. American pharmacies do not sell progesterone injections, but can only prescribe vaginal gel or oral capsules. If you are used to taking oil, you need to bring it with you. The prescription reads "Progesterone 50mg/ml for IM use".
5. Los Angeles rush hour 8:30-9:30, scheduling a 7:30 blood draw can save 40 minutes.
6. The apartment kitchen is mostly equipped with induction cookers, and comes with a small Chinese medicine decoction pot that requires a 110V conversion plug.
7. The transportation of frozen embryos back to China is currently only carried by some biotech companies, requiring FDA export permits and Chinese customs import approvals, with a lead time of 3 months and a cost of approximately $8000. It is recommended to temporarily store them in the United States.
8. Pediatrics in the United States charges per visit, and patients can be discharged within 24 hours after vaginal delivery. If you want to stay for an extra night, you need to pay $1200 at your own expense and confirm with the insurance company in advance.
9. The travel permit is valid for 2 years. If the child plans to attend a public elementary school in China in the future, they need to complete the overseas accommodation registration form before entering the country, and the police station will handle it free of charge.
10. The drug limit for returning home: progesterone gel ≤ 7 tubes, exceeding the required prescription+translation, the customs inspection frequency is about 5%.

7、 Quick Search for Living Facilities in Los Angeles

Accommodation: Within 5 miles of INCINTA, we recommend the Marriott Residence Inn (monthly rent with breakfast $4200) or Airbnb two bedroom apartment ($3100).

Catering: H Mart Korean supermarket can buy instant sea cucumber, chicken soup, and support WeChat/Alipay; Dahua Supermarket 99 Ranch has fresh live fish that can be slaughtered on behalf of others.

Travel: The one-way trip from Uber Pool to the clinic costs about $12. Download the Metro app and purchase a 7-day pass for $25 to get unlimited bus and light rail rides.

Communication: The T-Mobile Visitor Card costs $40 per month and includes 10GB of hotspots, allowing for live streaming of domestic conferences in the clinic waiting area without any lag.

8、 Horizontal Comparison of CDC Data (2023 Edition)

9、 Insurance and Tax Refunds

Assisted reproduction in the United States is not covered by commercial insurance, but the following items can be claimed separately:

• Laboratory codes 80053 and 84443 for eight infectious diseases, thyroid function, blood routine, etc. can be submitted for domestic high-end medical insurance, with an average refund of 300-500 US dollars.
• If working in the United States and having PPO insurance, some ovulation promoting drugs can be used with Copay cards, and Gonal-F manufacturers can refund up to $200 per card.
• When leaving the country, apply for a California sales tax refund at LAX airport. A single invoice of over $100 can be refunded 7.25%, except for drugs, but blood draw fees can be refunded, saving about $150.

10、 FAQ Selection

Q: Can the endometrium be transplanted with a thickness of only 7mm?

A: INCINTA adopts a triple therapy of "estrogen+sildenafil+Viagra vaginal medication", which can increase the average thickness by 0.4-0.6mm. If it is still less than 8mm, it is recommended to administer PRP once in the uterine cavity and have a follow-up examination 48 hours later.

Q: Can the embryo test result 'mosaic' be used?

A: INCINTA categorizes the chimeric ratio of 20-40% as a low ratio, which can be transplanted but requires informed consent. The clinical pregnancy rate is 15% lower than that of diploid and the miscarriage rate is 8% higher.

Q: How long can I get a visa to stay and travel in the United States?

A: B1/B2 usually require multiple round trips over a period of 5 years, with each stay lasting 6 months. Upon entry, medical and tourism expenses will be indicated, and I-94 will provide a 90% probability of 6 months.

Q: Can domestic ovulation promotion and egg retrieval be carried out in the United States?

A: INCINTA accepts the "cross-border plan", but requires domestic monitoring reports to use English templates, hormone units to be unified as SI, negative ultrasound follicle testing to be accompanied by images, and drug brands to be consistent with the US, otherwise re stimulation is required.

Q: If the first attempt fails, how long is the interval between the second attempt?

A: In the case of frozen embryos, it is recommended to allow the endometrium to resynchronize every menstrual cycle; If there are no embryos, it is necessary to promote ovulation again, with an interval of 3 months, to allow the ovarian volume to recover.

11、 After returning to China

Children holding a US passport and a Chinese travel document entering the country need to apply for the "Overseas Accommodation Registration Form" at the local immigration office within 30 days. After that, they can settle down, get vaccinated, and enroll in school normally. The vaccine can be obtained from the Los Angeles County Department of Public Health, and can be directly entered into the system at community hospitals upon returning to China without the need for repeated vaccination.

At this point, the entire process from domestic inspection to the child's return to China for household registration has been sorted out. Wishing every expectant parent to turn their "wish" into "heartbeat" on INCINTA or RFC.

This article link:https://bken.loadskill.com/usivf/305.html