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Tricare

CenTx13CenTx13 member
in Trouble TTC
Do any of you ladies have any help on getting a referral off post to a RE? I am on Tricare Prime and am getting my HSG next monday. After that I really want to talk to my Gynecologist about getting a referral to a RE because when he suggested Clomid he didn't say anything about monitoring. When I mentioned getting a referral he said I was still "young" and that they wouldn't approve a referral because I hadn't tried anything yet...? 
Married 2009. TTC 1yr. Forced break due to husband's deployment. TTC 2011-Present. Currently undergoing initial testing.
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Re: Tricare

  • tlalli7106tlalli7106 member

    We are overseas stationed in Japan and it took me awhile for me to get my referral for an RE out in town. When it comes to infertility, Tricare doesn't cover anything except the initial testing which I had already done on post so I really didn't need t

    TTC our first Navy baby! Me:27 DH:30, together since 8/2003, Married on 7/2006
    9/26/10 stopped BCP and started TTC.
    9/2011 referred to RE. All blood work normal and DH's SA=normal results
    11/2011 HSG=both tubes clear
    One natural (monitored) cycle of Clomid, 50mg 2/2012= BFN
    Getting ready for first IUI, 3/2012 received orders to Japan! (postponed IUI)
    5/2012 Moved to Japan, fought Tricare for months over referral (no fertility treatment on our military base) for Japanese RE out in town!
    8/2012 Started seeing new RE
    9/2012, post coital test= hostile cervical fluid, (finally) moving on with first IUI!
    9/29/2012 IUI #1+trigger= BFN
    10/27/2012 IUI #2+100mg Clomid CD5-9+trigger= BFN
    11/28/2012 IUI #3+100mg Clomid CD5-9+trigger= BFN
    12/28/2012 IUI#4+100mg Clomid CD5-9+trigger=BFN
    2/1/2013 IUI#5+injectables+trigger=BFN
    3/2013 IUI#6+injectables+trigger=???
    image
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  • ufsandra85ufsandra85 member
    Getting me referral was super easy. If you have been trying for over a year they shouldn't have able to deny you a referral. If they do go to a different pcm and ask again. If you have been trying over a year you qualify for a referral

    Married 11/27/09 and TTC right away
    Dx: Complete septate uterus with cervical duplication, endometrial polyps, PCOS, endometriosis, hypo thyroid, luteal phase defect
    4 uterus surgeries to correct my complete septum and to remove polyps and 2 years of seeing the RE, medicated cycles and IUIs
    Baby 1 and 2: BFP 3/3/11 with 2 babies EDD 11/1/11, M/C 4/6/11
    Baby #3: 8/11 pregnant EDD 4/27/11 and m/c:(
    Baby #4: 10/12/11 BFP! EDD 6/16/12m/c 10/26/11
    Baby #5: 3/13/12 BFP! EDD 11/25/12 ANOTHER m/c :(

    Baby #6: 2/14/13- BFP! EDD 10/24/13, CP 2/19/13
    Baby #7: 3/15/13- BFP! EDD 11/27/13, another CP
    Baby #8.  BFP 5/19/13 EDD 1/22/14. 8 was not our lucky number

    4th septum resection on 5/31/13.
    Baby #9: 6/29/13 BFP. C section scheduled for March 5th!

    My miracle baby was born March 5 at 9:33am. He was 8 lbs 12.5 oz and 21.25 inches long!

    image"">

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  • ufsandra85ufsandra85 member
    I also want to say my experience had been completely different with coverage. They have done 9 medicated cycles, 3 iui, 4 surgeries, countless ultrasounds, medications, doctors visits, monitoring etc and they only thing i have paid for was 110 for each i

    Married 11/27/09 and TTC right away
    Dx: Complete septate uterus with cervical duplication, endometrial polyps, PCOS, endometriosis, hypo thyroid, luteal phase defect
    4 uterus surgeries to correct my complete septum and to remove polyps and 2 years of seeing the RE, medicated cycles and IUIs
    Baby 1 and 2: BFP 3/3/11 with 2 babies EDD 11/1/11, M/C 4/6/11
    Baby #3: 8/11 pregnant EDD 4/27/11 and m/c:(
    Baby #4: 10/12/11 BFP! EDD 6/16/12m/c 10/26/11
    Baby #5: 3/13/12 BFP! EDD 11/25/12 ANOTHER m/c :(

    Baby #6: 2/14/13- BFP! EDD 10/24/13, CP 2/19/13
    Baby #7: 3/15/13- BFP! EDD 11/27/13, another CP
    Baby #8.  BFP 5/19/13 EDD 1/22/14. 8 was not our lucky number

    4th septum resection on 5/31/13.
    Baby #9: 6/29/13 BFP. C section scheduled for March 5th!

    My miracle baby was born March 5 at 9:33am. He was 8 lbs 12.5 oz and 21.25 inches long!

    image"">

    Report Reply
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