Trouble TTC

$500 is our infert. limit :(

Anyone else have a low budget like this?

 I just had sinus surgery, $500 and before the sinus surgery I mis-understood the insurance lady and thought that after my deductible, in-network drs were free.....WRONG.  So, at paying 20% (which is still awesome because I know some people don't even get the coverage), I'm sad to say $500 will be all we can afford right now.  I've had 2 appointments in one cycle and we're at $200.  So I guess we can go another cycle if a BFN and that's it.

 And, I told my grandma today....because she made a big deal about DS being a brother someday.  Then she got upset because she thought we weren't trying at all then realized we were but had problems.  She said if it doesn't happen, save money and try again.

thanks for listening. 

Re: $500 is our infert. limit :(

  • STL34STL34 member

    I know how that goes.  We don't have any IF coverage.  It is all OOP.  MH didn't realize that the meds weren't going to be covered either.  My insurance doesn't have very good pharmacy coverage period.

    I am sorry you are going through this.  I really wish insurance was required to really cover IF.  $500 isn't much coverage at all.  Best of luck on your upcoming cycle! Hopefully, you don't have to reach your limit. 

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • I hate that insurance companies aren't required to cover IF.  We have no coverage as well - completely OOP.  It's so unfair that having a baby can come down to being able to pay for treatments.
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  • imagegymnst1013:
    I hate that insurance companies aren't required to cover IF.  We have no coverage as well - completely OOP.  It's so unfair that having a baby can come down to being able to pay for treatments.

    Ditto this. No IF coverage here either. Well, the diagnostic testing has been so far. We've only had to pay deductibles. Still waiting for a huge bill to come in the mail. I guess its being taken care of through the insurance though.

    But any meds or procedures are all OOP. ::sigh:: I don't understand why they don't make IF coverage mandatory...or at least an opt-in. 

    New to 3T? Check out this website first:
    TroubleTTC

    image
    Every new beginning comes from some other beginning's end --Semisonic

    **TTC since 04/09, C/P 02/02/10; 4 weeks, 3 days**
    **Dx: Anovulation, Hypothryroidism, Mild Endo, Pituitary Adenoma (prolactin issues), PAI-1, MFI **

    **7/10: Clomid + TI= BFN**
    **3/2/11: 1st RE appointment**
    **DH= Morph= 2%, Motility= 30%**
    **HSG= All clear!!**
    **3/11: Femara + Pregnyl + TI= BFN**
    **5/17/11: Laparoscopy / hysteroscopy = mild endo**
    **7/11: Novarel + IUI #1= BFN (7mil, 75% motility, 2% morph)**
    **8/11: Femara + Novarel + IUI #2= BFN (11mil, 35% motility, 1% morph)**
    **11/11: Femara + Novarel + IUI #3= BFN (9mil, 2% morph)**
    **Jan 2012: Follistim (75ius) + IUI #4= CANCELLED due to cyst -put on bcp**
    **Feb 2012: Follistim (75ius) + Novarel + IUI #4.2= BFFN (2.5mil, 13% motility, 1% morph)**
    **Mar 2012: Follistim (100ius) + IUI #5= CANCELLED due to 35mm & 14mm cysts**
    **On med break indefinitely...IF Sucks!**

    **Jan 2013: Follistim (100ius) + IUI #5.2= CANCELLED due to high prolactin level, MRI scheduled, pituitary adenoma found, put on Dostinex**
    **Mar 2013: Follistim (100ius) + IUI #5.3= CANCELLED due to uterine polyp, surgery scheduled for polypectomy and D&C**
    **03/22/13: Hysteroscopy, polypectomy and D&C**
    **May 2013: Finally got to start a cycle!!! Follistim (100ius) + IUI #5.4 = BFFN (6mil, 74% motility, 2% morph)** 

    **Jun 2013: Decide to start IVF**
    IVF w/ICSI #1 (Long Lupron Protocol)
    06/26/13: Start BCPs
    07/02/13: HSG #2= all clear
    07/15/13: Start Lupron 10 ius
    07/25/13: Suppression check
    07/28/13: Start stims (225IUs Follistim + 75IUs Menopur) drop to 5 IUs Lupron
    08/01/13: Monitoring: 12 follicles all about 10mm, E2- 313
    08/04/13: Monitoring: 18 follicles (15mm, 13mm, a few 11mm, rest 10mm or below) E2- 1,505
    Start Augmentin- antibiotic prep
    08/06/13: Monitoring: 13 follicles (18mm, 17mm, rest b/w 15mm-16mm!) Ready to trigger!! E2- 2,248
    08/08/13: ER-- 14R, 13M, 10F 
    08/11/13: One fertilized late, we now have 11 embryos!
    08/13/13: 5dt-- 2 blasts (Sheldon and Penny) 3AA and 3BB, none to freeze
    8/23/13: BFFN... Sheldon and Penny didn't stick**

    **8/29/13: Follow up... bad fragmentation issues. Changing protocol to Antagonist for round #2 coming soon! Also started on 81mg Aspirin after getting blood panel done and found out I have PAI-1**

    **Oct 2013: After large cysts, finally starting IVF #2**
    IVF w/ICSI #2 (Antagonist Protocol)
    BCPs started back in Sept due to cysts
    10/27/13: Start stims (225 IUs Gonal-F + 75 IUs Menopur)
    11/03/13 - 11/05/13: Add Ganirelix to the mix
    11/06/13: 3 follicles at 18mm-- Ready to trigger!
    11/08/13: ER-- 17R, 13M, 8F
    11/13/13: 5dt-- 2 blasts (Luke and Leia) 5AB and 4AB, 1 frostie
    11/20/13- 11/23/13: light positives on FRERs and Wondofos
    11/22/13: BFN per RE office (under HCG of 10)
    11/27/13: CP ::sigh::

    *12/03/13: Follow up...great response and quality this time, was given 50% chance of it working, just didn't stick. Great plan for 2014! 

    **Jan 2014: Last IVF of our SRP**
    IVF w/ICSI, freeze all, then FET
    12/27/13: Start BCPs
    01/19/14: Stims (375 IUs Gonal-F + 75 IUs Menopur)

    Congratulations Cutebride!! --TWINS!! Congratulations, Luvie, on your sweet boy! Congrats, Jess! So happy for you ladies! <3<3  
    ~~Also best of luck to Kati, illinigal, and youngin!~~

    *S/PAIFW*

    image
  • I'm sorry to hear that my insuarance will only cover for a limited amount of time per lifetime
  • Insurance coverage over IF is just such crap. Our insurance covers just diagnostic. We have been seeing our RE since May- and have yet to receive a bill. I have been saving all of our EOB's but honestly, they aren't that easy to read Sad
    Image and video hosting by TinyPic Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker *First RE visit 5/10 *B/W & SA Normal! 6/10 *Laprascopy - Removed septum and cyst 7/10 *50 mg Clomid 8/21 +Trigger 9/1 = BFN *50 mg Clomid 9/17 = No response *100 mg Clomid 9/29 + Trigger 10/8= BFP!! *Beta 1= 297 *Beta 2= 612! *It's a Boy! EDD July 4th 2011 *Surprise!! Natural BFP! Beta 1=306, Beta 2= 1100! EDD Aug 18th 2012! IT's a BOY!
  • I am sorry :-(. I am scared to look into what our coveragewould be on insurance...sigh.  It just seems so unfair!
  • I'm sorry.  It is really unfair that money has to be the deciding factor with how you proceed with treatment.  GL with your upcoming cycles!
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  • I am so sorry! We have no coverage for IF. Insurance did cover most of the testing and the lap (I was billed $37,000 and only had to pay $3,000)

    We are now totally cash pay at this point.

    I really hate that money has to dictate our plan care. 

    June 2010-Lap
    b2b Injectable IUI #1 7/25/10 & 7/26/10 = BFP beta 14dpIUI = 133 MC 9/14 at 9 weeks
    b2b Injectable IUI #2 12/5/10 & 12/6/10 = BFN
    IVF #1 ER 3/28/11 ET 3 embryos 3/31/11= BFN
    b2b Injectable IUI#3 6/28/11 & 6/29/11 = BFN
    PAIF/SAIF Welcome :)

    Submitted Adoption Application on 6/1/2011
    Homestudy 7/19/2011
    IVF#2 CX due to Adoption Match
    We were blessed with our daughter through the gift of adoption
    IVF #2.1 ET 2 embryos 2/14/13 7 frostiesLilypie First Birthday tickers

  • I'm sorry.  We're in a similar situation. 

    I'm from Canada, so b/w, u/s, surgery, certain testing and certain prescriptions (non-fertility related, ex. synthroid) are covered.  Everything else is OOP.  We have been told to expect $15,000.00 - $25,000.00 in OOP expenses (depending on the treatments we require).

    I have my initial consultation with the RE in August and I'm already having a panic attack about money. 

    TTC since August 2009
    June/July 2011 - IVF #1 - Transfer cancelled due to OHSS
    23 perfect embryos. All 23 made it to freezing!
    September/October - FET #1 - October 12th - 2 Grade A embies
    October 20th - BFP??! EDD - July 1, 2012
    Beta #1 = 154, Beta #2 = 352 Beta #3 = 3,800
    U/S #2 - November 14th = 133 bpm! U/S #3 & 4 - November 30th and December 7th = 163 bpm! U/S#5 - January 30th - TEAM PINK!!!
    Baby Sweets born on her due date!
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