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Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

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MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

We are thinking switching RE's but how does this work when we have frozen sperm and embryos at our old pratice?

And can you recommend your practice. I hear and see a lot of talk about Dr.B. Where is he located and is he taking new patients?

Posted 6/4/11 4:28 PM
 
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bringonthebaby
Twins!

Member since 11/10

2334 total posts

Name:

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

I'm not sure about the transfer. Dr b is still taking new patients but he is no longer accepting any insurance. If you happen to have out of network coverage though, you can still go to him. He is in Woodbury.

Good luck!

Posted 6/4/11 8:29 PM
 

MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

Posted by bringonthebaby

I'm not sure about the transfer. Dr b is still taking new patients but he is no longer accepting any insurance. If you happen to have out of network coverage though, you can still go to him. He is in Woodbury.

Good luck!

Dumb question, what does out of network mean? We have Oxford freedom plan and can go anywhere with out insurance and do not need a referal. So to see dr.b I would have to pay out of pocket?

Posted 6/4/11 9:01 PM
 

bringonthebaby
Twins!

Member since 11/10

2334 total posts

Name:

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

Some plans only allow you to go to a Dr that is in their plan. Out-if-network (or coinsurance) allows you to go to any Dr even if they don't take your insurance.

For instance, if you have 80/20 oon coverage, the insurance co would pay the dr 80% and you would pay 20%. But they only pay 80% of a predetermioned "allowable fee", not the Drs whole bill.

Just an ex. - even if the drs fee for a certain visit is $200, the ins co might only allow a fee of $90 so they will pay the Dr. $72 and you are responsible for $18.

Message edited 6/4/2011 10:16:32 PM.

Posted 6/4/11 10:15 PM
 

MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

Posted by bringonthebaby

Some plans only allow you to go to a Dr that is in their plan. Out-if-network (or coinsurance) allows you to go to any Dr even if they don't take your insurance.

For instance, if you have 80/20 oon coverage, the insurance co would pay the dr 80% and you would pay 20%. But they only pay 80% of a predetermioned "allowable fee", not the Drs whole bill.

Just an ex. - even if the drs fee for a certain visit is $200, the ins co might only allow a fee of $90 so they will pay the Dr. $72 and you are responsible for $18.

Thanks for explaining this to me!!Chat Icon

Posted 6/4/11 10:19 PM
 

PreshusSmurf
So in love with my little guys

Member since 1/07

2963 total posts

Name:
Jess

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

Posted by bringonthebaby

Some plans only allow you to go to a Dr that is in their plan. Out-if-network (or coinsurance) allows you to go to any Dr even if they don't take your insurance.

For instance, if you have 80/20 oon coverage, the insurance co would pay the dr 80% and you would pay 20%. But they only pay 80% of a predetermioned "allowable fee", not the Drs whole bill.

Just an ex. - even if the drs fee for a certain visit is $200, the ins co might only allow a fee of $90 so they will pay the Dr. $72 and you are responsible for $18.




Wouldn't you be responsible for $128?

Posted 6/4/11 11:04 PM
 

bringonthebaby
Twins!

Member since 11/10

2334 total posts

Name:

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

Posted by PreshusSmurf

Posted by bringonthebaby

Some plans only allow you to go to a Dr that is in their plan. Out-if-network (or coinsurance) allows you to go to any Dr even if they don't take your insurance.

For instance, if you have 80/20 oon coverage, the insurance co would pay the dr 80% and you would pay 20%. But they only pay 80% of a predetermioned "allowable fee", not the Drs whole bill.

Just an ex. - even if the drs fee for a certain visit is $200, the ins co might only allow a fee of $90 so they will pay the Dr. $72 and you are responsible for $18.




Wouldn't you be responsible for $128?



No because it really doesn't matter what the dr charges. The ins co only pays what they will pay. Not sure if maybe other insurance is different but I pay 20% of the allowed fee. The dr just writes off the rest as an ins adjustment. they are basically getting the same amount as when they did accept my insurance. The is co never even paid the full $200 then.

Posted 6/4/11 11:48 PM
 

Sunny10
LIF Adult

Member since 10/10

1287 total posts

Name:

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

It really depends on the facility and doctor. In my experience, you pay up front and you only get what the insurance pays you back. So you are taking the financial hit, so to speak. I know some doctors will take that check as payment and then it doesn't cost the patient, but it is important to find out how it works so there are no surprises.

Message edited 6/5/2011 9:07:29 AM.

Posted 6/5/11 7:49 AM
 

VeeJay
Love baby feet

Member since 2/09

2894 total posts

Name:

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

I had frozen embryos with my first RE and had them transferred to my new RE using a messenger service that speicalizes in this. I think the name is Manhattan Cryobank. They have all the tanks, etc to transport them. It cost me about $360 (I think).

Good luck!!

Posted 6/6/11 1:00 PM
 

alexadt
LIF Toddler

Member since 10/05

413 total posts

Name:
alexa

Re: Switching RE's. Recommendation needed please and Anyone do this and have froze embryos and sperm?

I switched RE's due to insurance reasons and had to transport my embryos to the new facility. I got quotes from several services and decided to transport them myself. There was no cost. I went to the new clinic to pick up the transport tank, went to old clinic and they transferred them to the tank, then we brought them back to new clinic. It was simple.

Good luck with whatever you choose. Chat Icon

Posted 6/6/11 1:12 PM
 
 

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