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Question about insurance coverage

intheplanningstageintheplanningstage member
in Trouble TTC
I just saw my claims from my insurance and there are 2 charges from the date of my HSG. One was like 1200 and it was completely covered -20 co pay. But then, theres a 500 "Ambulatory" charge that they didnt cover? I go to shady grove and they did the HSg there...but insurance covers all of the other sonograms and procedures there? Any thoughts? Thanks!
Our Novel of TTC:

*Male Factor (low count and low motility), High Prolactin, and Polycystic Ovaries (March 2013)
*Recurrent Miscarriage testing also revealed high anti-phospholipids & single MTHFR mutation. (Feb 2014) 

*IVF (07/2013): BFP-Natural Miscarriage @ 5 weeks* <3 Madison Riley <3
*FET #1 (10/2013): BFN
*FET #2 (12/2013)- BFP-Missed Miscarriage at 8 weeks <3 Kyle Andrew <3
*Chromosomes and Karotyping tests were both normal.We lost a healthy baby boy :(
*FET #3 (04/2014) was cancelled after finding Chronic Endometritis
*Miraculous BFP July 2014!! (I was taking baby aspirin and Cabergoline to stay regulated while "taking a break from TTC" and waiting to consult with a reproductive immunologist!!!) 

Our healthy baby girl was born 03/10/15 thanks to daily Lovenox injections and baby aspirin. There are no words for how grateful I am for our rainbow baby. <3
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Re: Question about insurance coverage

  • violetmarie61516violetmarie61516 member
    Ambulatory only means outpatient. It sounds like it may be the professional charges. I would call the insurance and find out why they denied it.
    TTC #1 Since May 2011 ~ Everyone Welcome
    Me (34): DOR d/t chemo/radiation, Immature Endometrial Lining, Hypothyroidism
    DH (35): MFI d/t testicular torsion and removal, Low T, Oligospermia, Anti-Sperm Antibodies, Currently on T supplements
    Sept '11-April '13 ~  Testing, failed multiple MFI treatments, saving & TONS of praying
    January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN
    February 2014 ~ On to donor embyros ~ 5 blasts!!! 
    March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN
    July 2014 ~ Kliman's mock cycle with endometrial function test
    Sample too small for EFT, HE slide showed immature cells
    New protocol planned, saving for another biopsy for EFT
    January 2015 ~ Considering adoption options
    April 2015 ~ Privately arranged adoption of planned pregnancy
    DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16
    July 13, 2018 ~ BFP....WTF?!?!
    7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291
    7/23 US #1 ~ 1 gestational sac seen and yolk sac
    7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
    Lilypie Maternity tickers


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