General Information About Surrogacy | Physician Surrogacy
Can I be a Surrogate if I am a single parent?
Yes. We believe single mothers are just as capable of being Surrogates as a married woman. If you are single, it is very important that you have some type of support system in place. You should assure it prior to committing to any Surrogate program.
Can I be a Surrogate if I don’t have health insurance?
Whether you have insurance or not, the Intended Parents will purchase Surrogate-specific insurance for you. The plan lasts for the duration of your pregnancy. Our accounting department will be handling all medical bills.
Is surrogacy legal in my state?
If you are uncertain about the laws in your state regarding surrogacy, please fill out an application. Then, you will see for yourself whether you would qualify based on the state you live in. You will get a response instantly after submitting your application.
What is a Gestational Surrogate?
A Gestational Surrogate or a Gestational Carrier is a woman who becomes pregnant using an embryo created by the process of in vitro fertilization (IVF). The Surrogate may achieve pregnancy using the mother’s eggs and the father’s sperm. Gestational surrogacy also offers the option to use donor eggs or donor sperm. There will be no genetic relationship to the Surrogate.
Why should I choose Physician’s Surrogacy instead of other agencies or independent surrogacy?
- Surrogacy is a medical process, which is why we believe that you should have full medical support during your pregnancy. While other agencies are managed by previous Surrogates or past Intended Parents, we are an OB managed agency. Former Surrogates and past Intended Parents may understand the emotional aspects of surrogacy. However, they often lack the clinical background and business skills to manage the complexities of a pregnancy process.
- We pay the highest compensation for first-time Surrogates in the industry. Many other agencies advertise high compensation amounts. However, you will find out after going through their application process that the advertised amount is not what you will be getting in hand. We are very transparent about the compensation structure. We make sure that you understand from the beginning what your financial situation will be during this journey with us. Transparency is crucial when it comes to money, and our approach gives you financial clarity from the start.
Will I be biologically related to the baby I am carrying?
No, you will NOT be biologically related to the baby that you are carrying for the Intended Parents. As a Gestational Surrogate, your eggs will NOT be used. The process uses the eggs of either the Intended Mother or the Egg Donor.
Will the birth certificate have my and/or my husband’s names on it?
Your name and your husband/spouse’s name will NOT be on the birth certificate. The Intended Parents will be the ones who will have full parental rights to the baby. Thus, it will be their names that appear on the birth certificate.
Process of Surrogate’s Pregnancy | Physician Surrogacy
Will I have to travel to San Diego every time I go see the fertility doctors?
In most cases, long-distance travel will only be required for medical screening and embryo transfer, during the initial stages of the fertility treatment. Once you are near the end of your first trimester, you will be released to your local OB doctor who will continue your medical care throughout the rest of your pregnancy. The location you will be required to travel to will be determined by the clinic location your intended parents have selected to store their embryos.
Who pays for me to travel? – Physicians Surrogacy
The intended parents that you are matched with will pay any traveling expenses related to your surrogacy.
What responsibilities will I have if pregnant – Physicians surrogacy
Our Surrogate mothers need to live a healthy lifestyle and take care of the life that is growing inside of them. During this process, we ask you to stay in regular communication with us and inform us of any appointments or pregnancy-related questions.
What is the process to become a Surrogate, in the medical aspect?
- Initially, we will arrange for a preliminary blood work screening at a facility near your home.
- Once you have successfully passed the initial blood work screening, the next step will be a comprehensive medical screening which will include a pelvic exam, ultrasound, additional blood work, and cultures for sexually transmitted diseases and toxic substances. If applicable, you will be given lab orders for your partner to also have blood work screening for STDs and toxic substances.
- Once medically, psychologically and legally cleared, an IVF cycle calendar will then be created with important dates and prescription medications. Our physician’s office will go over in detail the names of the medications, instructions on use, and side effects. It is important to note that once injections begin, the surrogate must abstain from sexual intercourse. During the cycle, but prior to the actual embryo transfer, you will be required to go to the doctor’s office for vaginal ultrasounds and bloodwork at least one to two times per week. It is vital that you attend these appointments and take the medications as instructed by your physician.
- The embryo transfer happens approximately four weeks after the start of injectable medications. The transfer itself is about a ten-minute procedure. The embryos are placed in fluid in a syringe with a small catheter tube. The catheter is put through the cervix and into the uterus where the embryo is transferred. You will be required to be on bed rest for 24-72 hours depending on the physician’s protocol. While on bed rest, it is important to remain calm and still to give the embryos the best possible chance for taking. Follow up appointments for blood work between the transfer and the pregnancy test will occur to monitor hormone levels.
- A pregnancy blood test will be done twelve to fourteen days after the transfer depending on how the calendar falls. There will be two blood tests and a heartbeat ultrasound to verify a positive pregnancy. Once you are pregnant you will continue your medications to ensure that the pregnancy will continue to grow. Once the pregnancy is stable (around 10-12 weeks) you will be instructed to stop the medications and begin to see your personal OB doctor for the remainder of the pregnancy.
What happens if the Intended Parents are not able to pick up the child once it is born?
Our agency makes sure that the power of attorneys is in place, well before the birth of the baby. This power of attorney gives a Newborn Care Nanny the legal guardianship rights and care for the baby until the Intended Parents are able to pick up the child. With the power of attorneys in place, Physician’s Surrogacy ensures that the Surrogates will never have to care for the baby after giving birth under any circumstances.
Is there anything required of my spouse/partner?
During the initial screening process, we will require a background check of anyone over the age of 18 that lives in your household. If you are married, both you and your spouse will need to sign the acceptance agreement. Also, we will be including it in your legal contract. During the medical screening process, your partner/spouse will have to provide a blood and urine sample. Your partner will play a significant role as part of your support team during your surrogacy journey.
How much contact occurs during the journey?
The amount of contact varies case by case. Contact is determined by the Surrogate Mother and the Intended Parent(s)’s preferences identified during the matching process. Some cultures are a little more closed off than others; however, the relationship and communication develops as the journey progresses.
Medical Care During My Pregnancy | Physician Surrogacy
Can I go to my own OB once I am pregnant?
Yes, provided that your OB accepts the health insurance utilized for the pregnancy. Together, you and the Intended Parents will decide upon the physician that cares for you during pregnancy. Many Surrogates use the physician that delivered their own children.
I had my tubes tied. Can I still serve as a gestational Surrogate?
Yes! You can still fulfill the qualifications for gestational surrogacy. The process does not use fallopian tubes. Instead, the embryo(s) are placed directly into the Surrogate’s uterus during the embryo transfer phase.
My medical care during my pregnancy – Physicians Surrogacy
After the first trimester, your physician will release you to your local OB doctor. Your local OB will oversee your medical care for the remainder of your pregnancy. If you need a new OB doctor, then we can provide you with recommendations. You will be able to deliver at a hospital that is local to you.
What are the health risks as a Surrogate Mother?
Surrogacy has the same risks as a regular pregnancy. There are no additional risks with a Surrogate pregnancy. Given that, please consult with your OB to talk about normal pregnancy risks.
What if I am still overweight from my last pregnancy?
Our BMI requirement is 32 but if you are close to it, we are happy to assist with weight loss support. The Society of Reproductive Medicine (ASRM) has established guidelines on Surrogate BMI (below 34) to reduce the risk of complications or Gestational Diabetes. Most IVF centers also have their own BMI requirements, which typically range from 28 – 34.
Will I be taking injections?
Gestational Surrogates need to prepare their bodies for the embryo transfer. You will require injections in order to help your uterus accept the embryo. The medical team will help you throughout your injectable period by providing a calendar with a clear timetable and dosages. Generally, you will have to take the injections through the first trimester.
Type of Compensation Structure | Physician Surrogacy
Does this cost me anything?
No, the Surrogate Mother does not bear any cost of this process. The Intended Parents will pay for and handle all the medical expenses, Surrogate Mother benefits, legal fees, and travel expenses.
Employed Surrogates | Higher Rate | Physicians Surrogacy
Employed Surrogates may be entitled to lost wages through the state. We realize this may be a factor. So, we have decided to include a stipend for lost wages at the outset. We believe whether you need it or not, the money should be there. Also, we leave it up to you how to best allocate those funds. Should you need to file with the EDD, we leave that to your discretion. Although your compensation package includes lost wages, this does not preclude you from filing directly with EDD for lost wage benefits.
How are finances handled? | Surrogate | Physician Surrogacy
All funds related to your surrogacy will be held in a trust account that is managed by or an experienced escrow company, so that all monies due for your Surrogate fees and reimbursement of related expenses are paid in a timely manner. All financial matters will be handled by the surrogacy agency, removing this component from your relationship with the Intended Parents.
What are the advantages of this type of compensation structure?
- What are the advantages of this type of compensation structure?
This compensation structure fosters a groundbreaking concept in which all parties mutually benefit.
Our Surrogates receive more payment with a fixed compensation package than with a line item package.
Surrogates are paid more upfront during the beginning of their journey. In most cases, our Surrogates can earn $4-5k+ even before confirmation of pregnancy (COP).
Less tedious paperwork: we eliminate the need for submitting miscellaneous expenses such as childcare, mileage, pay stubs and instead entrust you with the reimbursement of your expenses.
Straightforward compensation – they know upfront what they will have to pay and can plan accordingly. Takes into consideration the additional expenses incurred such as travel and monitoring expenses in different regions.
What constitutes employed vs unemployed?
To be considered employed, you must have a gross annual income of $15,000. Employment is verified by pay stubs and/or a tax return.
What is the compensation package? How much am I getting paid?
- Once you complete your online application, a Surrogate coordinator will contact you to discuss the surrogacy journey in more detail. He/She will provide you with a more detailed explanation of our compensation package. You will find the general compensation information on this page.
- Our compensation structure ensures our Surrogates receive an absolute, fixed amount as their payment. We want prospective Surrogates to learn all facets of the journey. They should also know that their unique situation will translate to a clear, financial end result.
Why does compensation vary from state to state?
For local Surrogates, travel and other expenses are much less for the Intended Parents. It is because of the proximity of the local Surrogates to our Southern California location. Additionally, as does the cost of living, average surrogacy compensation also varies greatly from state to state.
Corona-Virus | restrictions affect | Surrogacy | Physician Surrogacy
Chances of Getting Coronavirus From Becoming a Surrogate
If anything, the chances of acquiring coronavirus are greater in the grocery store, at work or at a gas station. IVF centers and OB offices are not the types of doctor offices that people would go to when they are seeking treatment for non-pregnancy related illnesses. These sterile environments follow extra precautions and include increased screening and testing.
Current Travel Restrictions Affect My Application Process?
It won’t. There is a pre-screening process for surrogacy qualifications that you can complete remotely. You can do so prior to moving forward and becoming a Surrogate. When presented with a possible match with Intended Parents, you will learn where their IVF center is located. You will have the option to accept or decline the match. Travel, if any is required, would not take place until the last phase, the full medical screening.
Do I have to travel?
You likely won’t have to travel anytime soon. You can complete the entire application process, including intake, through the phone. The only time you will have to travel is when you get a match with an Intended Parent. There are options for electing for matches within driving distance. While it may reduce your options, you would be in control of the travel method.
What does the timeline look like?
The application process is quick. Fill out an application and find out instantly if you’re eligible and meet the initial qualifications of surrogacy. Also, the phone interview is brief which allows you to ask all of your questions and discuss your preferences. Pre Screening, such as background, OB record review as well as preliminary lab work, can all be done remotely near your home.
What happens if there are travel restrictions in place for the Intended Parents to come to the U.S.?
As of 9/15/2020 direct travel is no longer as limited as it was before. With the current new travel guidelines Intended Parents from all countries can enter the U.S. and apply for visas if necessary that will be granted on an “emergency basis”. With the birth of their baby, surrogacy is labelled an emergency which removes the travel ban that a lot of countries had previously.
If the Intended Parents are still unable to come to the United States a Newborn Care Nanny has legal guardianship through a power of attorney to care for the child until the Intended Parents can pick up their baby. Our Surrogates never have to care for the baby under any circumstances.