Can you see if you can find a good covered OB before you decide to switch? If all the in network OBs suck, it might be worth staying on a more expensive plan, but I am all for saving money where I can!
I don't envy your position. I would go with the more affordable option. But I would make an appointment with the OB and bring the list of approved doctors and see if he can recommend any. I often trust the judgement of a medical professional that I respect. Cuz you're right, you can never predict how the birth will be. Or of any postpartum issues. I had a mostly by the book pregnancy with DD right up until 36.5 weeks. Ended up with an emergency c-section. And then I had postpartum hypertension for 6 weeks plus a baby that wasn't gaining weight appropriately which resulted in almost double to triple the amount of doctor and midwife appointments than most people had/
Now I'm not trying to scare you I'm just sharing my story. Many ladies have zero issues. But you never know.
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
I'm going to offer a different opinion. I value trust and a dr (as you put it) that focuses on what's truly medically necessary. Too many doctors jump to c sections because it's less risky but it's not always the best decision for you. I would really consider this long and hard. Also think about the other doctors that are within the practice that they rotate with because in reality you will not know who you get on game day and you have to be comfortable with all
Certainly not saying that's the new doctors in the new network aren't good but you have to judge (gut feel) if you feel as comfortable trusting their judgement as you do with your current.
Does the new plan cover out of network doctors? Usually they do just at lower coverage.
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January & February: 2 IUIs, BFN March: IUI, ectopic, 2 surgeries with 1 tube removed May - July: 3 more IUIs, all BFN, on to IVF August: IVF#1, BFN September: FET#1, BFP!!! It's a girl!!!
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Oh and wanted to add GL, it's a hard decision. I've been with my OB for over 7 years so I know they feeling of having built that rapport
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January & February: 2 IUIs, BFN March: IUI, ectopic, 2 surgeries with 1 tube removed May - July: 3 more IUIs, all BFN, on to IVF August: IVF#1, BFN September: FET#1, BFP!!! It's a girl!!!
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I have been seeing my OB for 9 years so I get it....but I would switch. If you live in a big city, you are going to have numerous, highly rated, qualified doctors to choose from. I'm a worrier and cheap though, so I just wouldn't want to risk having a financial unknown.
I would 1000% recommend you get a referral from your current doctor before you leave, they will recommend someone who they admire/have similar views with. You can also interview doctors beforehand to get a feel.
I would definitely meet doctors before switching and make sure you feel comfortable.
I gave up my OB/GYN that liked when I switched to HMO plan... I regret it, to be honest. I have a ton of doubts about my current practice but got stuck due to not being able to switch due to HMO rules until it was "too late" in my pregnancy (keep this in mind, many OB/GYN won't take you 3rd trimester).
In the end, it IS saving me a TON of money being on the HMO vs PPO for pregnancy purposes, but I admit I am not as confident with the doctors
===siggy warning====
Me: 40, DH: 42
Diagnosis: PCOS
TTC: May 2013
TX: IUI #1 with Follistim. Canceled due to too many follicles (10 + that were large); BENCHED
I would take the better coverage for less money. I would also approach your long-term OB and ask him to sign up with that particular insurance. If he's that great of a doctor who cares about his patients, he will! My GP just did that. We had to switch insurance companies last year. We switched to a company that my GP of 8 years did not participate with. So she looked into it and applied to partner with them! It did take several months, but finally it happened. You never know... good things can happen in unexpected places!
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age.
Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins. First natural PG 9/27/11; mc: 1/20/12 First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D. IVF #1:
10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s
showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle &
150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET
11/2/12: CANCELED. All 5 came back from PGS as having "severe
abnormalities." IVF #2:
1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left.
Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every
morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13:
CANCELED. All embryos (he even sent the ones not growing) came back from PGS as
having "multiple severe abnormalities." IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3
follicles in my right & 4 in my left. Rx: 150 Bravelle& 150
Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ. ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one
early blast, grade Fair. 3/24/13 AF came a day before beta. BFN IVF #4:(Added acupuncture to this cycle.) 3/25/13 WTF & Baseline:
FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5
follicles in my right & 4 in my left. Rx: 225 Bravelle& 225
Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ. ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2
(Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd
stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and
focus on living childless, due to the extremely poor quality of my
eggs. ***Decided
to stop trying and live CFNBC. I couldn't adjust. So, six months later... IVF #5: Changed RE. Going to one of the big name clinics now.
OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14. BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14 2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily 2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox 2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again. IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR). 5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23 6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox. 7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB! EDD 3/18/15!
Re: WWYD - re insurance
Off birth control March 2012 - Actively trying Sept 2012-April 2014
BFP on May 5th after Follistim & IUI #3
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
*May Siggy Challenge - Parenting Fails*
March: IUI, ectopic, 2 surgeries with 1 tube removed
May - July: 3 more IUIs, all BFN, on to IVF
August: IVF#1, BFN
September: FET#1, BFP!!!
It's a girl!!!
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March: IUI, ectopic, 2 surgeries with 1 tube removed
May - July: 3 more IUIs, all BFN, on to IVF
August: IVF#1, BFN
September: FET#1, BFP!!!
It's a girl!!!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins.
First natural PG 9/27/11; mc: 1/20/12
First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN
IVF #4: (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...
IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
EDD 3/18/15!