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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Ghi coverage..
Anyone kno what ghi covers for iui's n ivf? Meds included?
I have secondary coverage through my dh's insurance.. 20,000 max which inckudes meds. Im assuming that's 2 rounds of ivf.
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Posted 3/17/13 8:01 AM  |
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babydreams21
LIF Adult
Member since 12/12 3656 total posts
Name:
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Ghi coverage..
Hi. I have GHI and am pretty new to this as well. Started testing in January and did my first IUI last week. GHI covers IUIs. You have to do 6 IUIs before they will partially cover IVF. As for meds Clomid was like $5. I got the HCG- trigger and it was like $100 bc they said I had to reach a $100 deductible amount in order for injectibles to be covered. The Endometrin was $15. I have heard from other ladies on here that 3 rounds of the same injectibles are covered lifetime and to order the max allowed during one time. Basically for everything so far I have only paid copays and I have had an HSG, Saline Sono, MRI, and an IUI. My RE office gave me sheet of whats covered when I started there. Let me know if you have any other questions.
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| Posted 3/17/13 6:16 PM |
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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Re: Ghi coverage..
Thank u so much!! Definetly notebooking this for future reference! 6 iuis before ivf.. I really was hoping that after 4 i could think bout next steps esp bc dh's sperm n morphology is low. Im holding on to a little bit of hope! Thanks so much for the breakdown of it all :) goid luck to u!!!
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| Posted 3/17/13 7:04 PM |
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Anne44
LIF Adolescent
Member since 8/10 752 total posts
Name:
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Re: Ghi coverage..
I have GHI but my meds fall under another rx plan - which covered barely anything. Coverage is different depending on your particular plan. I called directly to see what was covered under my particular plan.. GL!
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| Posted 3/17/13 9:14 PM |
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babydreams21
LIF Adult
Member since 12/12 3656 total posts
Name:
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Ghi coverage..
Glad I was helpful...I'm learning this all too. I have heard that your RE can ask your insurance for IVF after a certain amount of IUIs if both your DH and yourself have issues. We are Unexplained so if need be (fingers crossed this works this month) then we will have to do the 6 IUIs before considering IVF. I know this sucks, hang in there. At least we have some coverage. I am very thankful for that. You said after 4 IUIs you were hoping for IVF. Have you had any yet?
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| Posted 3/17/13 9:39 PM |
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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Re: Ghi coverage..
No iui's yet.. My first one will b soon. I should b getting af towards the end of the week. Im not even sure of the process. The nurse will b calling me soon to go over the plan. I kno im taking clomid cd 5-9 n then i guess monitoring after that and then the insemination. dh's count is low.. 13 million n his morphology is only 1 percent. Im just not getting a good feeling about iui working. Im readin the internet too much! This whole process is so hard to handle. I have a dd who qas conceived naturally.. It's just mind boggling n somewhat depressing
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| Posted 3/17/13 10:22 PM |
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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Re: Ghi coverage..
Anne.. What's ur prescription plan?
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| Posted 3/17/13 10:23 PM |
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gina409
TWINS!
Member since 12/09 27635 total posts
Name:
g
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Re: Ghi coverage..
when i was trying to get pregnant it ws 12 iui needed before they would pay for ivf,i believe it is 6 now
and they do not count b2b as 2,we did 8 so tech 16 iui before we did ivf bc our doc wrote a letter
they will pay for 75 percent of ivf
meds r through ex[press scripts,is that what u have?
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| Posted 3/17/13 11:42 PM |
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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Re: Ghi coverage..
Yes i have express scripts... Thank u gina n congrats on the twins!!! Im so new to all this n and any advice is much appreciated
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| Posted 3/18/13 11:35 AM |
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TtcDc2
LIF Toddler
Member since 1/13 431 total posts
Name:
Mel
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Re: Ghi coverage..
When is endometrin used?
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| Posted 3/18/13 11:38 AM |
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babydreams21
LIF Adult
Member since 12/12 3656 total posts
Name:
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Re: Ghi coverage..
Posted by TtcDc2
No iui's yet.. My first one will b soon. I should b getting af towards the end of the week. Im not even sure of the process. The nurse will b calling me soon to go over the plan. I kno im taking clomid cd 5-9 n then i guess monitoring after that and then the insemination. dh's count is low.. 13 million n his morphology is only 1 percent. Im just not getting a good feeling about iui working. Im readin the internet too much! This whole process is so hard to handle. I have a dd who qas conceived naturally.. It's just mind boggling n somewhat depressing
Good luck! Your plan sounds right. I went in CD 10 and 12 for monitoring and had my IUI on CD 13. I took Clomid days 3-7. I started Endometrin 2 days after the IUI. I'm on day 5 of it and not a fan. Its very messy but no other side effects so far. That is great that you have a DD that was conceived naturally. I understand about it being depressing...I have been trying for a year and a half. Now that I did an IUI at least I feel like I'm trying to solve the problem even though we are Unexplained. Good luck and hang in there.
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| Posted 3/18/13 4:47 PM |
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gina409
TWINS!
Member since 12/09 27635 total posts
Name:
g
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Re: Ghi coverage..
Posted by TtcDc2
Yes i have express scripts... Thank u gina n congrats on the twins!!! Im so new to all this n and any advice is much appreciated
thank you so much!
the trick with express scrips is when u order ur injectables make sure they give u the max on the order
so say u need gonal..u get three refills a lifetime but u can order the max at each order
am i making sense lol,i think i am saying it funny
basically so u do not use it up in 3 months like i did and have to pay thousands in meds bc i am a moron
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| Posted 3/18/13 6:55 PM |
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gina409
TWINS!
Member since 12/09 27635 total posts
Name:
g
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Re: Ghi coverage..
Posted by TtcDc2
When is endometrin used?
i started at 7dpiui and continued till i got my beta results
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| Posted 3/18/13 6:55 PM |
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JDubs
different, not less
Member since 7/09 13160 total posts
Name:
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Re: Ghi coverage..
Posted by Anne44
I have GHI but my meds fall under another rx plan - which covered barely anything. Coverage is different depending on your particular plan. I called directly to see what was covered under my particular plan.. GL!
This. I have ghi with caremark rx and they would not cover clomid, I think I paid $25 for it... meanwhile my sister who has medco paid $5
ETA this was for generic clomid
also had a $15 copay I believe for generic HCG through freedom fertility pharmacy but they went through GHI for that
Message edited 3/20/2013 11:38:34 AM.
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| Posted 3/20/13 11:35 AM |
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