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So Upset ** Update **

Posted By Message

jessnbrian
Only God knows His plan for us

Member since 4/13

7238 total posts

Name:
Jessica

So Upset ** Update **

Just received DH new insurance benefit package in the mail from his new job... and OF COURSE, ALL HEALTH SERVICES AND ASSOCIATED EXPENSES FOR INFERTILITY TREATMENT are EXCLUDED... They don't cover any of it. I have no idea what we're going to do. I was expecting them to not cover the IVF like our old insurance, but no infertility treatment and services at all???? I mean, what is that going to mean for just the testing, the appointments, monitoring, etc?!?! At least our old insurance covered everything up through IUI. My consult with LI/IVF is for October 8th and I have no idea what we're going to do. I've been hysterical crying and DH just yells at me to stop crying, that just because they don't cover it doesn't mean I shouldn't go to the appointment - he has no clue what this could cost. I'm so upset.

** Update **
So DH and I have decided to cancel the appointment with the RE for now, since it looks like we'll have to pay out of pocket. I really think that I can get a lot out of seeing a new ob/gyn, so I've scheduled an appointment with Dr. Bashian in Bellmore - a lot of girls on here have said many nice things about the practice. I really was not happy with my old doc, she never did any sort of pre-conception work up when DH and I went in to discuss it, and she gave me no direction during my 2 mc's. PLUS, whenever they tested my HCG, she never tested my progesterone to even see if that COULD have been the reason why I had the mc's. I'm really looking forward to seeing a new doc and am hoping that that will be all I need. If we have another MC, or other issues, then we'll see the RE and pay whatever we need, but I think getting as much done with the ob first is the best option we have right now.

Message edited 9/18/2013 2:32:01 PM.

Posted 9/14/13 2:14 PM
 
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PhyllisNJoe
My Box Is Broken

Member since 6/11

9145 total posts

Name:
Phyllis

Re: So Upset

I am so sorry. I hate insurance companies. They unfortunately have us by the balls.

Even though it doesn't cover treatment, it may cover testing.

Try to calm down until you can call the insurance company on Monday.

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Posted 9/14/13 2:33 PM
 

MrsM429
Mama x2 <3

Member since 12/10

4946 total posts

Name:

So Upset

You have FM

Posted 9/14/13 2:36 PM
 

ShhhTTCin11
3 under 3?!

Member since 5/11

2229 total posts

Name:
Coleen

So Upset

There are grants out there and loans are always an option. I think the consult at LIIVF may be free- hang in there!!!

Posted 9/14/13 7:46 PM
 

babydreams21
LIF Adult

Member since 12/12

3656 total posts

Name:

So Upset

I'm so sorry. That totally sucks and of course you are gonna be crying about it. DHs try to get it but they just can't. The emotional toll IF takes on a person is unreal. Definitely call the insurance company and see what they cover. Maybe if you have a diagnosis like PCOS things associated with that may be covered. I know it sucks but you will find a way to make it work. Does the company you work for offer insurance? I hope everything works out.

Posted 9/14/13 8:16 PM
 

elizabeth78
LIF Adolescent

Member since 4/09

644 total posts

Name:

So Upset

I hope everything works out!!

Posted 9/14/13 8:34 PM
 

2BirdsofaFeather
Miracles can happen!

Member since 10/10

3319 total posts

Name:

So Upset

I am so sorry! Call and clarify too... maybe they will cover diagnostic testing?

Posted 9/15/13 8:35 AM
 

Irishgrl13
Fingers Crossed...

Member since 6/09

1301 total posts

Name:
Colleen

Re: So Upset

i'm so sorry for you.... we are planning to switch to DH's insurance at the start of the year b/c there is some IVF coverage, but who knows if that will stay the same....

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Posted 9/15/13 8:35 PM
 

jessnbrian
Only God knows His plan for us

Member since 4/13

7238 total posts

Name:
Jessica

Re: So Upset

Posted by 2BirdsofaFeather

I am so sorry! Call and clarify too... maybe they will cover diagnostic testing?



This is what I'm hoping - because I think a lot of testing I can get covered under the pretense of my really bad periods (not that they are now, but years ago they were debilitating - vomiting, massive pain, etc). Now they're just regular periods but maybe I could use my old pains to get testing now...

Posted 9/15/13 10:32 PM
 

CindySN23
Stop, Think & Breathe...

Member since 8/11

3550 total posts

Name:
Cindy

So Upset

I am so sorry!!! Insurance def sucks!!! Just to make sure have LI-IVF run your insurance to see what costs they will cover if any. Also, ask how much the consult will cost you so your at least aware and prepared

Posted 9/16/13 7:17 AM
 

MrsM429
Mama x2 <3

Member since 12/10

4946 total posts

Name:

So Upset

This was taken from LIIVF's website

INITIAL PATIENT VISIT
If you do not have insurance or have insurance but lack coverage for the diagnosis of infertility services and are concerned about the cost of the initial patient visit, Long Island IVF has developed an Initial Patient Case Rate. This Case Rate includes the services necessary to develop a treatment plan specifically for you. Eligibility for this Case Rate is determined when our financial counselor verifies benefits with your insurance plan and it is determined that you do not have coverage for the services included in the Case Rate.

THE $250 CASE RATE INCLUDES THE FOLLOWING SERVICES:
New patient office visit
Ultrasound
Blood draw
FERTILITY ASSESSMENT
If you do not have insurance or have insurance but lack coverage for the assessment of infertility services and are concerned about the cost, Long Island IVF has developed a Fertility Assessment Case Rate. This Case Rate includes the procedures necessary to diagnose the causes of infertility and to develop a treatment plan specifically for you. Eligibility for this Case Rate is determined when our financial counselor verifies benefits with your insurance plan and it is determined that you do not have coverage for the services included in the Case Rate.

THE $500 CASE RATE INCLUDES THE FOLLOWING SERVICES:
Baseline endocrine testing (Day 3)
Water sonogram services
Semen analysis

Posted 9/16/13 7:23 AM
 

journey22
LIF Toddler

Member since 7/13

374 total posts

Name:

Re: So Upset

Chat Icon I hope it all works out

Posted 9/16/13 2:24 PM
 

MrsGoldie
<3 Miracles can happen <3

Member since 9/12

1700 total posts

Name:
R

So Upset

I'm so sorry. Hopefully you will get better news when you call. I HATE INSURANCE COMPANIES!!!!!

Posted 9/16/13 4:44 PM
 

JoanneAndJustin
LIF Adult

Member since 2/09

1801 total posts

Name:
Joanne

Re: So Upset

I have no fertility coverage but all my consults were covered and during iui all my bloodwork and sonos were covered. They weren't covered during IVF.

Posted 9/17/13 12:55 AM
 

jessnbrian
Only God knows His plan for us

Member since 4/13

7238 total posts

Name:
Jessica

Re: So Upset

Posted by JoanneAndJustin

I have no fertility coverage but all my consults were covered and during iui all my bloodwork and sonos were covered. They weren't covered during IVF.



I'm hoping that this is the situation - Keeping my fingers crossed!

Posted 9/17/13 7:36 AM
 

Michelle1110
My family is complete

Member since 1/12

2338 total posts

Name:

Re: So Upset

Posted by MrsGoldie

I'm so sorry. Hopefully you will get better news when you call. I HATE INSURANCE COMPANIES!!!!!



Ditto !

Posted 9/17/13 6:08 PM
 

jessnbrian
Only God knows His plan for us

Member since 4/13

7238 total posts

Name:
Jessica

So Upset ** Update **

bump for update

Posted 9/18/13 2:32 PM
 

TyReseGreen
Lil Prince is here

Member since 8/11

6338 total posts

Name:
Theresa

Re: So Upset ** Update **

You will love Dr Bashian! When I took a break from IVF last summer I switched to her. She is awesome and was willing to run tests to see what my infertility issues were even though I knew IVF was the only option(tubes are shot).

She just did my csection 2 1/2 weeks ago.

Posted 9/18/13 2:51 PM
 

jessnbrian
Only God knows His plan for us

Member since 4/13

7238 total posts

Name:
Jessica

Re: So Upset ** Update **

Posted by TyReseGreen

You will love Dr Bashian! When I took a break from IVF last summer I switched to her. She is awesome and was willing to run tests to see what my infertility issues were even though I knew IVF was the only option(tubes are shot).

She just did my csection 2 1/2 weeks ago.



Thanks so much for the extra confidence. My other doc did NO TESTING WHAT SO EVER. I doubt I'll need to go the IVF route (got 2 bfp's in 4 months, just lost both of them very early). I am so sure that it's something really simple and easy, like low progesterone, but my old doc wouldn't even test it before. 10/8 can't get here fast enough.

Posted 9/18/13 2:54 PM
 

mrsm-2011
He is my world!

Member since 6/12

3009 total posts

Name:
Theresa

Re: So Upset ** Update **

I hope everything works out with your new OB/GYN. My fingers are crossed for you! Chat Icon Chat Icon

Posted 9/18/13 3:03 PM
 
 

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