Success after IF

Unexpected charges from my RE

I just received a third party bill for $400 from my ER. Apparently while I was sedated a polyp or something similar and small was removed and sent to pathology without my knowledge and this is the bill I just received. I just had my hysteroscopy not long ago and had a polyp removed under my insurance co-pay. All our IVF is OOP. This bill comes after a 2k bill we didnt expect for ICSI and another bill for $1,600 for cryo and storage fees - these were never discussed with us. I've called and spoke to the financial coordinator who told me if I don't want to pay the bill it's my credit. She's lovely to deal with. She also told me I should be grateful to pay the cryo fees with my history they never saw me having any frozen embryos. She also mentioned we are lucky to see my RE and lucky to possibly be pregnant again...REALLY? I don't understand why someone with no sensitivity would do this job. I canceled my U/S appt with them tomorrow and managed to get another one with my OB to see if there is a heartbeat. I've told my husband I refuse to step foot in that clinic again. Am I overreacting? WWYD?

Me 38 MH 41 - TTC since June 2010 - dx with Severe MFI. Straight to IVF with ICSI. IVF #1 - ER 06/13/12 - 9 Eggs Retrieved - 4 ICSI'd - only 2 fert. 06/15/12 - 2DT - 3 cell & 6 cell with fragmentation. Beta 06/29/12 - IVF #1 = BFN. 07/20/12 - WTF Appt -Told by our RE to quit IVF. Second Opinion from RE is good. IVF#2 - November 2012. Estradiol Pills Started 11/6. Stims start 11/16. ER 11/26 - 7 eggs retrieved - all mature. 4 fertilized with ICSI. ET 11/29 Transferred 3 embryos. Beta is 12/10. 1st Beta 81 2nd Beta 160 and 3rd beta 360!!! First U/S 12/21/12 - We saw one beautiful gest. sac. 2nd U/S is 01/04/2013 - H/B 183 02/05/13 - NT Scan - everything looks good and IT'S A BOY!  Aiden was born 08/20/2013.

IVF #2 is in progress.  ER was 05/12/14 - 11 eggs retrieved, 8 fertilized with ICSI.  ET was 05/15/14 - we transferred 3 embryos as we did on the cycle my son was conceived.  We were able to freeze 3 embryos. Beta is scheduled for 05/26/14.  1st beta - 111.  2nd beta - 159 didn't double :( 3rd beta Friday 5/30) - not a lot of hope left. Beta # 3 is 247 - probably ectopic.  Beta # 4 is 813 - possibly vanishing multiple sydrome?  06/05/14 - 5w4days - first U/S - we see a gestational sac and yolk - still have hope!  06/17/14 - 7w1day - U/S and saw and heard the heartbeat - Finally!  06/27/14 - 8w4days - Baby and heartbeat look and sound great :)  EDD 02/01/14 and It's a boy!


 "Everything will be okay in the end. If it's not okay, it's not the end."


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Re: Unexpected charges from my RE

  • Umm what??? This is ridiculous. You are not over reacting at all. Id be livid. They did a procedure without consulting you or your husband since you were out and the only way you hear about it is through a bill. And whats up with the crabby lady. She should not be part of such a sensitive business. No way would I go back either. Im sorry this happened. Hope your appt with OB goes well. Screw that RE office.
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  • Wow!! That's horrible?! Can they legally do a procedure without your consent?

    I agree with your decision.

    Also to my ultrasound buddy good luck today!!!
    Diagonsed PCOS TTC since May 2009
    First M/C December 2010 Second M/C August 2011
    Oct 2011~Second round clomid 50 mg; BFN
    Nov 2011~Third round clomid 50 mg: BFP
    Dec 11- Beta #1 91;Dec 13- Beta #2 186.2
    Dec 27- third miscarriage
    May 25th- Beta #1 369;May 27th- Beta #2 798
    Baby girl born Jan 23, 9lbs 3oz, 21 1/2" long
    May 27th-Beta #1 80; May 29th- Beta #2 304; May 31st- Beta #3 860
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  • ccamccam member
    That was completely uncalled for and unprofessional, I'd be livid, too!  I don't blame you for canceling your appointment.  I wonder if there is someone you can talk to about your experience with her.  

    ___________________________________________________________________________

    Trying for #1 since May 2010   l   DX ~ Unexplained Infertility June 2011

    IUI #1&2 = BFN; IUI #3 = BFP, m/c @ 6 weeks

    November '11 ~ IVF#1 ~ ER 11/18 (29R, 17F) ~ 5dt of one beautiful blast on 11/23 = BFP!!

    Beta #1 9dp5dt = 116, P4 = 28 ~ Beta #2 13dp5dt = 700 ~ Beta #3 20dp5dt = 9500, P4 = 26

    1st u/s 12/27 - hb of 156!! EDD 8.10.12 :)   **TEAM GREEN!**

    Sweet baby boy born 8.18.12

    Baby Birthday Ticker Ticker

    Trying for #2

    FET #1 - October '13 - c/p   l   FET #2 - December '13 - cancelled :(   l   FET #2.2 - 1.30.14 - BFN

    ~ More testing - hysteroscopy, endometrial biopsy & more b/w - all normal / negative~

    Surprise BFP while waiting on FET #3 ~ beta #1 500; beta #2 1600; first u/s 4/3 - measuring 5w5d, no hb yet!; 2nd u/s 4/10 - hb 132, measuring 6w6d - EDD 11.29.14 :)    **TEAM GREEN!**

    Beautiful baby girl born 11.24.14

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  • kmc84kmc84 member
    edited June 2014
    I would be very upset too. Did you actually read your consent forms when you signed them? It would be highly unusually for it not to say something about taking appropriate measures if something unexpected was encountered. If your getting any kind of scope done and they find a poly, you can be sure it's getting biopsied.

    That said, it does sound like they billed wrong. There should be a way for them to bill that so it gets covered by your insurance as a GYN procedure.

    As for the B in the finance dept, she sounds like she needs some sensitivity training (at the least)!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    TTC# 1 since 5/10
    Me:34 Type 1 Diabetes, Ankylosing Spondylitis, Hypothyroid DH:35 Perfect
    DX: Unexplained IF
    Many IUI's with various meds all BFFN
    IVF #1 11/11 canceled due to OHSS
    IVF #2 Feb/March 2012 ET of 2 on day 3 4/7 BFP! 5/1 u/s blighted ovum
    IVF #3 July 2012 ET of 3 on day 3 7/24 BFP!
    Healthy baby girl born at 36w4d on 3/9/13

    Baby Birthday Ticker Ticker
    TTC #2
    IVF #4 May/June 2014 ER 6/4 18R 8M 8F ET 6/9 1 blast, 2 frosties
    Beta 6/18 BFFN

    FET of 2 blasts 7/24...BFP!
    Healthy baby girl born at 36w3d on 3/17/15

    TTC#3
    IVF #5 June 2018- PGS planned, no surviving embryos
    IVF #6 August 2018- ET of 2 on day 3 - Chemical pregnancy
    IVF #7 August 2019-....?
  • mnj05mnj05 member
    Even if the procedure was done legally, they should have spoken to you about it before releasing you that day. You don't remove something from someone to be biopsied, then not speak of it at all.

    Nurse also needs a talking to. She does not have the right to tell you why you should be happy to pay a bill or that you're lucky at all. I would've hung up on her, there's no way I could deal with that.

     imagePhotobucket

    TTC #1 since 3/2011
    DX: anovulatory and severe MFI
    DH is a testicular cancer survivor
    IVF#1 w/ICSI lupron, gonal f, ovidrel
    ER 6/15/12 6R 6M 6F! ET 6/20/12
    Beta #1: 154 Beta #2: 509 Beta #3: 7326
    Baby Boy born 3/1/2013
    Baby Birthday Ticker Ticker

    TTC#2: 6/2014 all testing came back normal

    IVF#2 (#1 for LO#2) 9/2014 - 17R 10M 10F 4 blasts frozen on day 6.

    FET #1 10/15/14 - Beta #1: 216  Beta #2: 823


    Baby Boy born 7/10/2015


  • kmc84kmc84 member
    mnj05 said:

    Even if the procedure was done legally, they should have spoken to you about it before releasing you that day. You don't remove something from someone to be biopsied, then not speak of it at all

    Yes, this! Sorry, I meant to say this too!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    TTC# 1 since 5/10
    Me:34 Type 1 Diabetes, Ankylosing Spondylitis, Hypothyroid DH:35 Perfect
    DX: Unexplained IF
    Many IUI's with various meds all BFFN
    IVF #1 11/11 canceled due to OHSS
    IVF #2 Feb/March 2012 ET of 2 on day 3 4/7 BFP! 5/1 u/s blighted ovum
    IVF #3 July 2012 ET of 3 on day 3 7/24 BFP!
    Healthy baby girl born at 36w4d on 3/9/13

    Baby Birthday Ticker Ticker
    TTC #2
    IVF #4 May/June 2014 ER 6/4 18R 8M 8F ET 6/9 1 blast, 2 frosties
    Beta 6/18 BFFN

    FET of 2 blasts 7/24...BFP!
    Healthy baby girl born at 36w3d on 3/17/15

    TTC#3
    IVF #5 June 2018- PGS planned, no surviving embryos
    IVF #6 August 2018- ET of 2 on day 3 - Chemical pregnancy
    IVF #7 August 2019-....?
  • @ccam it's a smaller clinic with one doctor and his staff. Unfortunately all his staff is new to us during this cycle. His old staff we loved and was one of the reasons we came back. We have expressed our concerns to him - in a nice way he has explained that he knows they are new but thinks they are good at what they do. I haven't even bothered to call him.

    @ Robeano I've been thinking about you too - I hope you get to hear the heartbeat - I will be looking for your update :)

    @kmc84 - I've read all our consents nothing states anything about removing something during my ER while I'm sedated - even for an emergency purpose. The finance coordinator did explain that by law anything removed needs to go to pathology and I should be grateful my results were good - glad she told me my results instead of my doctor.

    I have three frozen embryos there and the financial coordinator told me "just send us the paperwork & we will send them wherever you want". I'm sure there's a fee for this too. I feel so unsure about this pregnancy because of my betas not doubling - that I wouldn't even know where to cycle if we needed to again. As for the bill I've paid it this morning - I'm not willing to have it ruin my credit.

    Thanks ladies for all your feedback on this one :)

    Me 38 MH 41 - TTC since June 2010 - dx with Severe MFI. Straight to IVF with ICSI. IVF #1 - ER 06/13/12 - 9 Eggs Retrieved - 4 ICSI'd - only 2 fert. 06/15/12 - 2DT - 3 cell & 6 cell with fragmentation. Beta 06/29/12 - IVF #1 = BFN. 07/20/12 - WTF Appt -Told by our RE to quit IVF. Second Opinion from RE is good. IVF#2 - November 2012. Estradiol Pills Started 11/6. Stims start 11/16. ER 11/26 - 7 eggs retrieved - all mature. 4 fertilized with ICSI. ET 11/29 Transferred 3 embryos. Beta is 12/10. 1st Beta 81 2nd Beta 160 and 3rd beta 360!!! First U/S 12/21/12 - We saw one beautiful gest. sac. 2nd U/S is 01/04/2013 - H/B 183 02/05/13 - NT Scan - everything looks good and IT'S A BOY!  Aiden was born 08/20/2013.

    IVF #2 is in progress.  ER was 05/12/14 - 11 eggs retrieved, 8 fertilized with ICSI.  ET was 05/15/14 - we transferred 3 embryos as we did on the cycle my son was conceived.  We were able to freeze 3 embryos. Beta is scheduled for 05/26/14.  1st beta - 111.  2nd beta - 159 didn't double :( 3rd beta Friday 5/30) - not a lot of hope left. Beta # 3 is 247 - probably ectopic.  Beta # 4 is 813 - possibly vanishing multiple sydrome?  06/05/14 - 5w4days - first U/S - we see a gestational sac and yolk - still have hope!  06/17/14 - 7w1day - U/S and saw and heard the heartbeat - Finally!  06/27/14 - 8w4days - Baby and heartbeat look and sound great :)  EDD 02/01/14 and It's a boy!


     "Everything will be okay in the end. If it's not okay, it's not the end."


    image


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  • You are rightfully upset. Can they code it differently so insurance will pay the fee for the polyp removal/biopsy? Also, why does the financial coordinator have access to your medical info? I would absolutely leave the practice and write a detailed letter to your RE explaining why. I would guess you are far from the first person to have a run-in with the nasty financial coordinator. Sending good vibes your way for the u/s.
    IUIs #1-3 (1x unmedicated, 2x Clomid) = 2 BFNs, 1 m/c at 7w3d
    IUIs #4-6 (injects) = 3 BFNs
    IVF #1 = BFN
    FET #1 = BFN
    FET #2 = BFN
    IVF #2 = BFP, b/g twins lost at 20w due to partial abruption/PPROM
    IVF #3 = c/p 5w2d
    Long-shot Clomid/Prednisone cycle before next IVF = BFP, our beautiful, healthy girl born 6/26/13!
    ~~
    TTC again March 2014
    FET #3 - May/June 2014
    -
    all embryos arrested before xfer - back to the drawing board...
    IVF #4 - July/August 2014 
    beta 1 (11dp3dt) 220, beta 2 (13dp3dt) 671, beta 3 (19dp3dt) 10762
  • Fx for your u/s! We got a bill from the RE about 6mo after J was born!! It was craziness. Since it was around $100, we eventually just paid since it wasn't worth the time. But I called and they were pretty nasty.
    TTC Since 3/2010
    Me-36, Unexplained Infertility, DH-35, all clear
    Clomid 50mg 12/2011 = BFN
    Clomid 100mg 1/2012 = BFN, with Cyst
    IVF #1 Lupron/Menopur/Gonal-f/HCG Trigger
    ER 4/19/12 = 11 retrieved, 6 fertilized,
    ET 4/22/12 = 2 transfered (day 3), remaining 3 weren't good enough to freeze
    Beta 5/3 = BFP, 87 Beta #2 5/7 560.9 Beta #3 5/9 1376.5 First u/s One Baby, 125bpm!
    Second u/s, 176bmp! Kicked over to the OB by the RE at 8w. Team Green!! 
    Baby girl J arrived two weeks early! Born into water, med-free. Hooray for Team Pink!

    TTC #2 - back to the RE, treatment started 12/2014. 

    image
  • I am so sorry that you are going through this. You had referenced them sending your remaining frosties elsewhere. As you guessed, there is likely a fee for this (I've been quoted 300 to 500), so definitely double check so you have no more surprises.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

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