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en
繁體中文 (Mandarin)
English
Español
Home
Team
SAN FRANCISCO
EAST BAY
SILICON VALLEY
NEW YORK
PORTLAND
Locations
California
SAN FRANCISCO – PAC HEIGHTS
SAN FRANCISCO – SOMA
Redwood City
SUNNYVALE
OAKLAND
DANVILLE
New York
MANHATTAN-BRYANT PARK
LONG ISLAND (COMING SOON!)
Oregon
PORTLAND
Treatments
IVF and IUI
Embryo Freezing
Egg Freezing
L
G
B
T
Q
+
Family Planning
Donation & Surrogacy
Donor Eggs
Donor Sperm
Gestational Carriers
Genetics
Mental Health
Spring Difference
Nest Donor Bank
Financial Considerations
Events
Resources & FAQ
Careers
The Blast
News
Referring Providers
Giving Back
Careers
SCHEDULE AN APPOINTMENT
Chat with a team member
Step
1
of
4
FERTILITY INSURANCE
25%
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First Name
*
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Last Name
*
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Email
*
Just a few more things
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Have you had fertility treatment previously?
YES
NO
Previous Fertility Clinic
DO YOU HAVE FERTILITY-SPECIFIC INSURANCE?
*
Yes
No
FERTILITY INSURANCE CARRIER
*
Make a selection
Progyny
Carrot
Stork Club
Maven
Other
RELATION TO INSURED PARTY
*
Make a selection
Self
Partner
Other
RELATION TO INSURED PARTY (OTHER)
*
EMPLOYER
*
RECORD NUMBER
*
PATIENT CARE ADVOCATE NAME
*
Just a few more things
For your convenience, we will verify your health insurance information prior to your first visit to inform you of any out-of-pocket costs.
RELATION TO INSURED
*
Make a selection
Self
Partner
Other
RELATION TO INSURED (OTHER)
*
INSURANCE CARRIER
*
Is this your primary or secondary insurance?
*
Primary
Secondary
INSURANCE TYPE
*
Make a selection
HMO
PPO
OTHER
INSURANCE TYPE (OTHER)
*
PROVIDER SERVICES PHONE
MEMBER ID
*
GROUP NUMBER
*
EFFECTIVE DATE
*
EFFECTIVE DATE (yyyy/mm/dd)
*
EXPIRATION DATE
EXPIRATION DATE (yyyy/mm/dd)
*
Employer
*
Employer
*
MEDICAL GROUP
*
CLAIM ADDRESS
Please re-enter your email.
Email Again
*
You're almost finished!
HOW DID YOU HEAR ABOUT US?
*
Please make a selection
Friend / Family / Colleague
Insurance
3rd party agency
Physician
Acupuncturist
Event
Internet
Social Media
Podcast
I'm already a patient
Other
Name of Friend, Family Member or Colleague
*
INSURANCE COMPANY
*
Please make a selection
Progyny
Carrot
WinFertility
Stork Club
Maven Clinic
Other / Primary Insurance
AGENCY TYPE
*
Please make a selection
Donor / Egg bank
Surrogacy
Physician
*
PHYSICIAN NAME
*
Acupuncturist
*
ACUPUNCTURIST NAME
*
EVENT
*
Please make a selection
Info Session
Eggs & The City
Fitness & Fertility
Other
INTERNET SOURCE
*
Please make a selection
Google
SART
FertilityIQ
Yelp
Reddit
ZocDoc
Fertility House Calls
Other
SOCIAL MEDIA
*
Please make a selection
Influencer
Ad
Facebook Group
Spring's Instagram
RED/Xiaohongshu
TikTok
Other
INFLUENCER NAME
*
PODCAST NAME
*
OTHER
*
Which event did you attend?
*
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