Access to infertility treatment using assisted reproductive technologies under the medical guarantees program is an important support for Ukrainian families, but when choosing a clinic, patients should focus not on promises of results, but on the quality of the medical team, the laboratory, the transparency of the treatment plan and clear communication.
Assisted reproductive technologies, in particular in vitro fertilization, or IVF, are not a single procedure. This is an individually planned medical process that includes consultations, diagnostics, medication preparation, the embryological stage, safety monitoring and further observation.
The state finances infertility treatment using ART in medical institutions that have the relevant contract with the National Health Service of Ukraine. The medical guarantees program allows patients to receive such treatment free of charge if there are medical indications and if they apply to an institution that has a contract with the NHSU.
Within the program, specialist consultations, medication stimulation, ultrasound monitoring, egg retrieval, sperm preparation, in vitro fertilization, including with the use of ICSI, embryo cultivation, embryo transfer into the uterine cavity and monitoring of the patient’s condition until pregnancy is established may be provided.
The patient’s age at the time of the start of the cycle must be no more than 40 years. If the first cycle did not lead to pregnancy, the possibility of a repeated cycle during the year is determined by the conditions of the program and medical indications.
At the same time, the list of services, indications and organizational requirements may be updated. Before starting treatment, patients are advised to clarify with the clinic what exactly is included in the state package in a specific case, what studies may be required additionally and what decisions are made individually after a doctor’s consultation.
In reproductive medicine, the result of treatment is formed by the work of an entire team — a reproductive specialist, embryologist, andrologist, geneticist, anesthesiologist, ultrasound diagnostics specialist, medical coordinators and other specialists.
Experts emphasize that in this field it is unethical to promise a specific result. The probability of pregnancy and the birth of a child depends on the patient’s age, ovarian reserve, causes of infertility, sperm quality, the condition of the uterus and endometrium, genetic factors, previous reproductive history, the number of embryos obtained and other clinical circumstances.
Therefore, when choosing a clinic, patients should pay attention to the presence of a contract with the NHSU, the experience of the team, its own embryology laboratory, the quality management system, a transparent treatment plan, the possibility of genetic counseling according to indications, the availability of modern technologies, the quality of communication and the further medical route after embryo transfer.
The embryology laboratory has special importance. A significant part of the IVF process takes place precisely there: specialists work with eggs and sperm, carry out fertilization, cultivate embryos, assess their development and prepare them for transfer or cryopreservation.
It is important for patients to understand that the laboratory must work according to standardized protocols, ensure control of the environment and use systems that minimize the risk of errors when working with biomaterial.
Some additional technologies, such as time-lapse monitoring of embryo development or IMSI for more detailed morphological selection of sperm, may be useful in certain clinical situations. However, their use must be determined by medical indications and not be perceived as a universal guarantee of success.
Modern reproductive medicine may also include genetic counseling and preimplantation genetic testing of embryos. Such studies may be recommended in cases of known hereditary diseases in the family, carriage of genetic changes, chromosomal rearrangements in partners, repeated pregnancy losses or other medical indications.
At the same time, genetic testing does not exclude all possible medical risks and is not a guarantee of the birth of a healthy child. The decision to conduct it must be made individually after consultation with a doctor and a geneticist.
A comprehensive approach to infertility treatment may include additional examinations, correction of concomitant conditions, consultations with a geneticist, endocrinologist, gynecological surgeon or pregnancy management specialist. Therefore, for the patient, not only the availability of individual services is important, but also coordination between specialists, a clear treatment route and the preservation of medical documentation.
The Nadiya Clinic has been working in the field of reproductive medicine for more than two decades and provides services in Kyiv and Lviv. For patients considering treatment under the NHSU program, practical advantages may include the presence of a specialized team, an embryology direction, genetic counseling according to indications and a coordinated route from the initial consultation to further observation.
At the same time, the decision on treatment in any medical institution should be made after a personal consultation. It is precisely during the consultation that the patient can assess how clearly the treatment plan is explained to them, whether the specialists are ready to answer difficult questions, whether they take into account the individual history and how comfortable the communication with the team is.
Before the first consultation, patients are advised to prepare the results of previous studies, discharge summaries after operations or treatment, information about previous pregnancies, pregnancy losses or ART programs, if there were any.
It is also worth discussing in advance with the doctor the possible cause of infertility, the need for additional examinations, the stages that are included in the state package, possible additional decisions or expenses, indications for consultation with a geneticist, the procedure for communication with the team during treatment and realistic expectations specifically in a particular clinical situation.
The state infertility treatment program expands access to important medical care, but the quality of treatment depends not only on financing. It is determined by the accuracy of diagnostics, the coordination of the team, laboratory standards, honest communication and the patient’s right to receive clear information before every decision.
Nadiya Clinic is a medical institution specializing in reproductive medicine, infertility treatment and assisted reproductive technology programs. The clinic operates in Kyiv and Lviv, provides consultations with reproductive specialists and supports patients at different stages of treatment.
In March 2025, the National Health Service of Ukraine (NHSU) paid UAH 13.517 billion to medical institutions providing primary and specialized medical care under the Medical Guarantee Program.
According to the NHSU, in particular, it paid UAH 878.5 million for emergency medical care, UAH 1.896 billion for primary medical care, and UAH 5.13 billion for the provision of priority services to specialized medical care facilities in February.
In addition, in March, the NHSU paid UAH 146.3 million to clinics under the package “Preparedness and provision of medical care to the population in the territory where hostilities are taking place” and UAH 808.6 million under the package “Transitional financial support for the provision of medical services by healthcare facilities”.
In March, the NHSU also paid UAH 526.8 million to pharmacies under the Affordable Medicines reimbursement program.
As reported, the state budget for 2025 provides more than UAH 175.5 billion for the Medical Guarantee Program (MGP). In particular, the MHG-2025 provides for the allocation of more than UAH 25 billion to pay for primary healthcare services, almost UAH 11 billion for emergency medical care, more than UAH 122 billion for specialized and palliative care, including more than UAH 6 billion for medical rehabilitation.
Tariffs for primary healthcare have been increased in the MTEF-2025. The basic capital rate will be UAH 844.4 instead of UAH 786.65 in 2024. In addition, the NHLP adds a rural coefficient of 1.1 to the base rate.
In addition, the NBU-2025 expands the reimbursement program “Affordable Medicines” – its budget will amount to UAH 6.6 billion.
The MTEF-2025 will cover 44 packages of healthcare services, including two new ones: radioisotope diagnostics for cancer diagnosis, including PET scans, as well as psychosocial and psychiatric care with the development of mental health centers and mobile multidisciplinary teams for adults and children.
In the first half of 2024, the National Health Service of Ukraine (NHSU) will conduct scheduled monitoring of 63 contracted healthcare facilities.
According to the agency on its website, the list of medical institutions to be monitored was determined based on the results of calculating a system of indicators that can confirm or refute the existence of risks in the work of clinics.
The monitoring will be conducted in medical facilities contracted under the packages “Medical Care for Acute Cerebral Stroke”, “Medical Care for Acute Myocardial Infarction”, “Medical Care during Childbirth”, and “Medical Care for Newborns in Complicated Neonatal Cases”.
In particular, the monitoring will be conducted in 16 clinics contracted for the acute cerebral stroke package, 11 clinics contracted for the acute myocardial infarction package, 28 medical institutions contracted for the maternity care package, and eight clinics contracted for the neonatal care package.
In addition, the NHSU informs that the list of medical institutions to be monitored will be supplemented by institutions that have a rehabilitation contract.
In 2023, the National Health Service of Ukraine (NHSU) paid UAH 133.8 billion under the Medical Guarantee Program, and 16 million Ukrainians received medical care.
According to the NHSU in its press release, in particular, in 2023, UAH 99 billion was allocated to pay for specialized medical care, UAH 23 billion for primary healthcare services, and UAH 11 billion for emergency medical care.
The NHSU reminds that in 2024, the financing of the PMG will be increased by 12% to UAH 159 billion.
The 2024 PMG covers 44 service packages, including three new packages: “Treatment of infertility with the help of assisted reproductive technologies”, “Treatment of adults and children by organ transplantation” and “Treatment of adults and children by hematopoietic stem cell transplantation”.
At the same time, the NHSU clarified that the National Service will pay UAH 60,324 thousand for one full cycle of infertility treatment.
Since the beginning of 2023, the National Health Service of Ukraine (NHSU) has paid over UAH 2.22 billion to medical institutions for medical care in case of acute cerebral stroke and acute myocardial infarction.
According to the NHSU press service, since the beginning of 2023, more than 78.8 thousand patients have received medical care for acute cerebral stroke and more than 21 thousand patients for acute myocardial infarction under the Medical Guarantee Program (MGP).
In addition, the NHSU reminds that 232 brand names of medicines for the treatment of cardiovascular diseases and primary and secondary prevention of heart attacks and strokes are currently participating in the Affordable Medicines reimbursement program.
More than 13.6 thousand private and municipal pharmacies have agreements with the NHSU to participate in the reimbursement program.
229 medical institutions have contracts with the NHSU for the treatment of acute cerebral stroke, and 74 institutions have contracts for the treatment of acute myocardial infarction. In particular, during stroke treatment, a medical facility receives UAH 131,472 for endovascular interventions, UAH 62,565 for thrombolytic therapy, and UAH 14,952 for care without endovascular interventions or thrombolytic therapy.
For the treatment of a heart attack with stenting, a healthcare facility receives UAH 43,573; if stenting is not performed, the NHSU pays UAH 25,261 for medical care provided during a heart attack.
The National Health Service of Ukraine (NHSU) for January-July 2023 under the package “Medical assistance in childbirth” paid 101104 births.
As reported to the agency Interfax-Ukraine in the NHSU, for the same period in 2022, the NHSU paid 109405 births, in 2021 – 141153 births.
The NHSU specified that currently 306 medical institutions are contracted for the package of medical care during childbirth.
As reported, in 2023 tariffs for medical care during childbirth is from 15,137 UAH.
