Aetna Infertility Hotline

Faith722

Hello!  This is my first post here, but I've been lurking on and off for a few months.

I wanted to know if anyone has had experience with Aetna's infertility hotline/program.  I just made an appt for our first RE consult and the receptionist said I was supposed to call and register with aetna.  I have to admit that I'm a little nervous.  Are they going to grill me on our history? If anyone has any insight on this...the kinds of questions they ask or the process in general...I'd greatly appreciate it!

 Thanks in advance!

Bride2Be11406

Super easy questions, they didn't grill me a ton.

But I'm still pissed that the lady said "so what's wrong with you?"  You would figure they have some sort of senstivity training, but I guess not...lol.

hopefulmommy

I've never heard of this. What is it?

Edwina.McDunnough

No, they just want to confirm that you've been trying for a set period of time (meet their coverage criteria) and to set you up in their records. You need to get an approval from them which they will send to you in the mail, which will outline exactly what diagnostic procedures are pre-approved. Even though they cc your RE, bring a copy to your consult for their files anyway.

They also had given me incorrect drug coverage information. To see if you have coverage for injects on your medical plan, not your Rx, call their Specialty Pharmacy. They'll give you all the phone numbers and all.

Welcome and good luck. 

 

ETA: I haven't called the IF line since I set up my first consultation, and I call the pharma only to get my prescriptions, and they are generally great. You need a lead time of 2 weeks (really a few days, but 2 weeks is their default) to get your prescription paperwork processed and for them to mail them to you, and they only deliver Tues-Sat, so if you need to start your meds on a Sunday you should have them in your hands by Saturday if not earlier. You have a one time first grace for getting a prescrip reimbursed, but the won't tell you that unless you hound them. Um, this is all for injectable and compounded drugs.

Edwina.McDunnough

hopefulmommy:

I've never heard of this. What is it?

 

Aetna (the insurance company) have their own IF division to process their members going through treatment. It's not like support or anything, it's an administrative branch.

hopefulmommy

Edwina.McDunnough:

hopefulmommy:

I've never heard of this. What is it?

 

Aetna (the insurance company) have their own IF division to process their members going through treatment. It's not like support or anything, it's an administrative branch.

thanks, Edwina! I was totally thinking hotline/ support. Was getting ready to call them with all my problems. Lol!!

Edwina.McDunnough

hopefulmommy:

thanks, Edwina! I was totally thinking hotline/ support. Was getting ready to call them with all my problems. Lol!!

 

Oh, that would be awesome!

?Hello. I hate IF. Okay, Bye.

hopefulmommy

Edwina.McDunnough:

hopefulmommy:

thanks, Edwina! I was totally thinking hotline/ support. Was getting ready to call them with all my problems. Lol!!

 

Oh, that would be awesome!

?Hello. I hate IF. Okay, Bye.

Actually , it would. Wouldn't it? Ha! I see you triggered on 4/4. When is your beta??

hopefulmommy

hopefulmommy:

Edwina.McDunnough:

hopefulmommy:

thanks, Edwina! I was totally thinking hotline/ support. Was getting ready to call them with all my problems. Lol!!

 

Oh, that would be awesome!

?Hello. I hate IF. Okay, Bye.

Actually , it would. Wouldn't it? Ha! I see you triggered on 4/4. When is your beta??

. Ooops! My bad. That wad 3-4. Sorry

wordslikeswords

I was actually denied the first time with Aetna because we hadn't been trying for a year, but when we faxed them DH's diagnosis they reversed it immediately. If you have diagnosed problems, they don't worry about the time as much.

Edwina.McDunnough

hopefulmommy:

]Actually , it would. Wouldn't it? Ha! I see you triggered on 4/4. When is your beta??

That's march to april, and I had my IUI last friday and beta on the 23rd. This cycle was going super slow and sluggish, but I ended up with three nice follies anyway. I'm hopeful but not all that excited. I guess my first IUI BFN really hit hard.

I'm so glad you're cyst free and can cycle soon! I had a cyst last month that gave me a 3 week cycle and brought my d3 FSH down to 2.6 this time around. Those things are strange and icky.

Thanks so much for asking!

 

++ sorry faith for hijacking your post

hopefulmommy

Edwina.McDunnough:

hopefulmommy:

]Actually , it would. Wouldn't it? Ha! I see you triggered on 4/4. When is your beta??

That's march to april, and I had my IUI last friday and beta on the 23rd. This cycle was going super slow and sluggish, but I ended up with three nice follies anyway. I'm hopeful but not all that excited. I guess my first IUI BFN really hit hard.

I'm so glad you're cyst free and can cycle soon! I had a cyst last month that gave me a 3 week cycle and brought my d3 FSH down to 2.6 this time around. Those things are strange and icky.

Thanks so much for asking!

 

++ sorry faith for hijacking your post

I was just going to apologize for hijacking this post as well . 3 follies is great!! Ill keep hoping for you and hopefully hear a bfp from you next week. I do remember you saying you had a leftover cyst as well. I hate cysts and I'm so glad they're finally gone. Ill start stims next week when AF gets here. I go back and forth with bbeing excited and hopeful that this will finally work and feeling like a fool for doing my 4th iui when none have worked so far. Gotta love the IF roller coaster! Last time I only got 1 mature follie and I was so bummed so my goal is to get 3 this time. Fun chatting w you. )

c1311

I think you only have to "register" with them if you have IF coverage.  We have Aenta, but no IF coverage, so they told me I didn't need to do anything.

Faith722

Thanks for all of your responses!  I really appreciate it!  I guess I'm just nervous about how detailed the questions will be.  Making this appt has just made everything a lot more real.

mrslovebug

It was totally fine.  No pressure at all and they were actually pretty helpful!  Good Luck!