So, I've seen alot of chatter about coverage and going round-n-round with insurance to get this test covered. That scared me a little bit, so I started doing some calling of my own.
I had the blood drawn on 7/31 and no results have come back yet, which is expected.
I called the Sequenom Lab today (8/6). They had received my bloodwork on 8/4 and it will take 7-10 days from that date to return a result. Ok, that's fine...
Do you contract with BCBStx? - Yes, we are in-network.
How much is your rate? - I don't know the contracted rate with BCBS, but we bill out $2762.00.
MY JAW HIT THE FLOOR, FOLKS!!! I was actually quite stunned for a moment, then asked for the code so I could call insurance.
(Now keep in mind, I have a HDHP with a $4800/ded-$8400/co-ins and my baby isn't due till 2015 so I will have TWO deductibles to meet with this baby. So I am sh*tting bricks at the moment!)
Called bcbs and they were of little help. Since this test is so new, they couldn't tell me what they normally pay out for this test. But they did tell me that lab is in-network and they do have a contract with them. However, it does require a 'pre-determination" for the benefit to be paid out. Luckily, we all meet the criteria as AMA so it should be a covered expense.
Now I just sit and wait for the billing and find out how much this is actually going to cost me. I wish I wouldn't have read any posts about it so I could be blissfully ignorant until the bill came in! LOL
The call ended on a high note. The rep at BCBS did voluntarily tell me that breast pump rental is covered 100% up to $1000/yr or $150 for an electric pump purchase twice in a year! So that actually made me feel really good!!
1/1997 - DS
9/1998 - Ectopic :: 4/2001 - M/C :: 8/2006 - Ectopic :: 4/2007 - M/C :: 8/2008 - Ectopic
4/2010 - DD
4/2012 - M/C
6/2014 - Surprise Pregnancy at 42 yrs old! EDD 2/16/2015
6/9 +HPT :: 6/10 hCG 383 :: 6/12 hCG 1190 :: 6/17 hCG 8224, Prog 26.4
6/24 U/S #1 showing 6w2d CRL .43cm w/HB! :: 7/7 U/S #2 CRL 1.73cm w/strong HB!!
7/31 NT Scan U/S #3 CRL 49mm, HB160 | MaterniT21 - Negative!! TEAM PINK
9/2 - AFP Panel - Negative | U/S #4 HB150
10/1 Anatomy U/S #5 | HB 134 | CPCs found, Trisomy 18 ruled out w/Mat21 on 7/31 | all other development normal!
11/24 - Glucose was normal at 94
12/23 - BPP U/S #6 HB 138 :: 12/30 - BPP U/S #7 HB 159 :: 1/5 - BPP U/S #8 HB 154
1/12 BPP/Growth U/S #9 HB 129, weighs 5lb 12oz already w/ 4 weeks to go!!
1/20 BPP/Growth U/S#10 HB 155, weight 6lb 9oz :: 1/26 BPP U/S#11 HB153 :: 2/2 BPP U/S #12 HB 137 :: 2/9 BPP U/S #13 HB 150
:::::::::: 2/12 - INDUCTION DAY!! ::::::::::