SURROGATE REIMBURSEMENT FORM

 

Referral Bonus Program
Do you know a woman who would be a fantastic
Surrogate? Refer her to our program and get a bonus!
 
* If you refer a first-time Surrogate to our program you will receive a $500 gift card when she receives legal clearance.
* If you refer an experienced Surrogate to our program you will receive a $1,000 gift card when she receives legal clearance.
 
If you have any additional questions about the referral program, please contact one of our Surrogate Intake Team Members:
Raina – Raina@ConceptualOptions.com
Shannon – Shannon@ConceptualOptions.com
Maggie – SurroIntake@ConceptualOptions.com
Renae – DonorIntake@ConceptualOptions.com

Conceptual Options’ Agency Protocol requires that all surrogates shall submit all requests for payment and/or reimbursement for items listed in the surrogacy contract no later than 15 days before the payment is due. Funds are paid out of expense accounts on the 1st of every month unless your contract stipulates otherwise. In the event that requests are not received by the 15th, your payment may be delayed. *

*** If you have RX reimbursements, health insurance premiums, life insurance or copy reimbursements medical bills you must fax, email or mail them directly to Cindy. Her email address is billing@conceptualoptions.com ***