Just curious. I could spit bullets right now>Now I am being told injectibles are NOT covered under my policy. I could cry. We will find out more tomorrow. We had gotten prior authorization for these things..and now wanted to make sure they were covered since the drug co. called us to set up meds to be delivered to our house..and now we find out its denied!!!! We didnt think IUIs were covered at first...actually were told flat out they werent, until my husband did some detective work..and found out we did get covered. We have EOBs showing they are covered..some resubmitted to be covered..which they wre.. If it cost s about1500 for one cycle. I have to do 2 amps..starting day3... I think id rather go ivf and just pay that way..since there is more of a chance with ivf.. I am beside myself..then I have that surgery in 48 hrs!!..We are calling back tomorrow...since eveyone was closing so we are hanging until tomorrow am..to find out.We were told we had full coverage for the injectibles..this is getting too draining for me.
Let me know what kind of coverage you all get with fertility drugs..procedures..etc. Sorry I needed to vent......... take care all!Anne

Well, I work for the ins company, so mine gets covered at 100%. One of the perks of living there.

What state are you in? Some states have mandates regarding whether it's covered or not.

At the company where I work- if we quote benefits saying something is covered, we HAVE TO PAY the claim. Whether or not we were correct the first time or not.

(((Hugs)))

O AMS! Keeps getting worse doesnt it? So you have IUI's covered now they are not? I was in no surprise to find out my scription has no fertility drugs... I ordered 20 vials of repronex, 2 HCG's and 2 centrotide's all for the small price of 979.00 which what i buy, last only 1 month now I am up to 3 vials a night so you see 20 gets me no where quick..so Ill spend another 1000. on meds...2000. for us/ blood and 500 for IUI...add that up...and call me an AS cus i jus spent 10500 for nothing but ups and downs when now Im stuck cus I cant afford to go for IVF to Ill save 2 years...So with the mind games, add money worrrys and its sucky...I hope you have better luck with insurance tomorrow and if you have to buy the meds, there are cheap fertility pharmacys out there...From what I understand, mine is 1 of them...People like me have to call around and get the cheapest or I would be broker than I am...Whens lap..4/11 im thinking? ooomy this Friday? You will be fine and thats just 1 more step to BS http://www.healthboards.com/ubb/smile.gif I know you know all my abbreviations! Have a good night and good luck fighting and Lapping...LOL..Mare

Mare and tess!
No matter how sucky a mood I am in...Mare you always come to the rescue.. You manage to make me laugh even in the .... of times. You deserve a medal for all you have gone through Mare.. I am handing you the Official MARE MEDAL! (its encased in gold ..see? lol)
I will let you know how lap goes..IF of course its covered... that too would be a joke if it isnt covered...Well see tomorrow!!
I ended up watching the Bachelor tonite..sort of sidetracked me a while..haha.
Tess. thank u too! I appreciate your comments!and support!!!!!!!!!stay tuned until tomorrow..
P.S>Tess., I have BC/BS(dh works here in Mass)but it is out of virginia..If it was automatically thru here i think mass picks up all fertility services..He is looking into a side job too!! just for meso he could get local ins. with all the bs were going through with the ins. co!! !!!!

[This message has been edited by ams37 (edited 04-09-2003).]

I ordered all my meds today***There is a mail order pharmacy that was highly recommended by the IVF hospital. It's called Freedom Pharmacy. I think they're in MI. I was skepical on using mail order since I have to start taking injections next week. My RE's office fax them the list of what I needed today and I was surprised to get a call this afternoon to verify insurance and such. My meds will be overnighted (no charge) and I will recieve them on Friday. They are supposed to be alot less expensive than going through your local pharmacy. Hope this helps.

We are really lucky that DH's insurance covers IUI, IVF and injectible meds. For my last cycle I paid $8 for 3 boxes of Gonal-F multi-dose, and $8 for 3 boxes of Ovidrel. We used to not have such good insurance and if we didn't, there is no way we would be able to afford our treatments.

AMS37, hang in there girl. I hate insurance companies. I can't believe the way they can mess with people's lives. I have HAP, and they cover three months of injectibles - lifetime. But, each month is 40 vials, and I only had to use 10 vials for my first cycle. Plus, my RE gave me four free vials during injection training. Check with your RE, a lot of times when women get pg, they will donate their unused medicine to the clinic for women that don't have insurance. Also, is your RE certain you need to start at 2/3 vials? I had three follicules at only one vial of follistim. Maybe you should suggest starting with a lower dosage? I'm sure your RE knows best, just wondering if its something to think about. On the Freedom Drug website, follistim is like $60 / vial, so this would be $600 instead of $1200-$1500. I know its still a lot of money. Good luck on the lap tomorrow. I've heard great things about the benefits http://www.healthboards.com/ubb/smile.gif

My HMO covers all but 20% of the cost of meds/ultrasounds/iui etc. The meds cost me $159 for 10 vials (including syringes). I used 20 vials. Including copays and parking fees (2.50 a pop!) my one cycle cost me about $975. If that's only 20%, I'd hate to see what the other 80 looks like. I know I'm really lucky to have this much coverage, but geez.......

looks like the lap will be covered..but no other fertility injectibles or anything!! through that bc/bs of va!! I live in Mass. and found out we are getting bc of mass. they have to pay for fertility treatments! including IVF!!! its state mandated!! one of the few states that allow to pay for fertility!!!! yay!!
Now onto the lap in the am!!!!! I will let u girls know how it goes..Ill probably be crying or happy!!! no happy medium! lol talk to u all soon!!