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Question about Insurance Coverage

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LadyBug1209
Mommy to FOUR little men!

Member since 8/08

9655 total posts

Name:

Question about Insurance Coverage

Hi Ladies,

I am going to see an RE for the first time this week. I'm just curious if I will have to pay out of pocket for any procedures. I have Oxford Liberty and on their website, it says that they cover 100% infertility. Thelr offices are closed until tomorrow, so I can't call to get details until then. Does anyone else have Oxford and do you know if they cover IUI and/or IVF, as well as all testing and monitoring?

TIA!

Message edited 1/10/2010 4:00:45 PM.

Posted 1/10/10 4:00 PM
 
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katie629
LIF Toddler

Member since 8/08

465 total posts

Name:
Kate

Re: Question about Insurance Coverage

I dont have the same insurance as you (I have United Health Care). Pretty much everything is covered for me (except copays...which add up). Just check to see if u have an infertility max. I am only covered up to 25K.

Posted 1/10/10 4:26 PM
 

LadyBug1209
Mommy to FOUR little men!

Member since 8/08

9655 total posts

Name:

Re: Question about Insurance Coverage

Posted by katie629

I dont have the same insurance as you (I have United Health Care). Pretty much everything is covered for me (except copays...which add up). Just check to see if u have an infertility max. I am only covered up to 25K.



Thank you!

Posted 1/10/10 8:39 PM
 

SweetTooth
I'm a tired mommy!

Member since 12/05

20105 total posts

Name:
Lauren

Re: Question about Insurance Coverage

Usually, it depends on your company, not so much the insurance.

I have Oxford Liberty, and this is not the insurance I had the first time.
I checked the infertility coverage, and for me they cover only testing (100%). However NYS requires companies to provide more infertility benefits. So I am covered for ovulation induction and IUI (sperm washing and procedure) but NOT IVF.

Posted 1/10/10 9:56 PM
 

KrisT
Two Boys for Me!!

Member since 1/07

5213 total posts

Name:
Kristin

Re: Question about Insurance Coverage

You definitely have to check the specific coverage you have. I have Oxford Freedom. When I first started, we had a "small business" plan and I only had coverage for testing, IUIs, etc. I did NOT have coverage for "advanced IF treatments", including IVF. We then added a lot more employees and our plan changed to a "large company" plan - but it is still called Oxford Freedom. Under this plan, I have coverage for advanced IF treatments (which includes IVF) with a $10,000 lifetime max.

Posted 1/11/10 9:57 AM
 

LadyBug1209
Mommy to FOUR little men!

Member since 8/08

9655 total posts

Name:

Re: Question about Insurance Coverage

Posted by KrisT

You definitely have to check the specific coverage you have. I have Oxford Freedom. When I first started, we had a "small business" plan and I only had coverage for testing, IUIs, etc. I did NOT have coverage for "advanced IF treatments", including IVF. We then added a lot more employees and our plan changed to a "large company" plan - but it is still called Oxford Freedom. Under this plan, I have coverage for advanced IF treatments (which includes IVF) with a $10,000 lifetime max.



Thanks! I just actually called to get my coverage info. I am covered for 100% testing, IUIs but NOT IVF.

I'm really hoping that our TTC will not have to come to IVF, but if so, I guess we will have to pay out of pocket. I'm praying that it doesn't come to that. Chat Icon

Posted 1/11/10 10:23 AM
 

6months
LIF Adolescent

Member since 11/08

598 total posts

Name:

Re: Question about Insurance Coverage

I have infertility coverage. I had to pay $5 per medication since the meds fell under the prescriptions plan and not the IF coverage.

Message edited 1/11/2010 3:40:47 PM.

Posted 1/11/10 3:40 PM
 
 

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