34.4. The assisted procreation services listed below and rendered in a centre for assisted procreation that holds a licence issued in accordance with the Regulation respecting clinical activities related to assisted procreation (chapter A-5.01, r. 1), by a physician who practises at the centre must be considered as insured services for the purposes of subparagraph e of the first paragraph of section 3 of the Act, up to a live birth or after each live birth, for one of the following options determined by the physician, that is, 1 stimulated cycle IVF and 4 modified natural cycle or natural cycle IVFs, or 2 stimulated cycle IVFs and 2 modified natural cycle or natural cycle IVFs, or 3 stimulated cycle IVFs or 6 modified natural cycle or natural cycle IVFs:
(a) the services required to retrieve sperm by medical intervention, including percutaneous epididymal sperm aspiration and surgical or micro-surgical testicular sperm extraction;
(b) the services required to retrieve eggs or ovarian tissue;
(c) the services required for in vitro fertilization, including assisted hatching services and sperm micro-injection (ICSI) services;
(d) the services required for preimplantation genetic diagnosis, rendered in a university hospital center that holds the licence referred to in this section, to identify serious monogenic diseases or chromosomal abnormalities;
(e) the services required to transfer 1 fresh embryo or, in accordance with the decision of the physician having considered the quality of the embryos, a maximum of 2 fresh embryos, in the case of a woman 36 years of age or under, and 3 fresh embryos including no more than 2 blastocysts, in the case of a woman 37 years of age or over.
The services referred to in the first paragraph are insured only to the extent that no quality frozen embryo is available for a transfer. However, after one live birth obtained following an IVF referred to in this section, transfers of frozen embryos, determined according to the conditions referred to in subparagraph b of the first paragraph of section 34.5, are considered as only one modified natural cycle or natural cycle IVF insured under this section, even if the transfers are done during separate tests.