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enough already!!!

thecuddleeffectthecuddleeffect member
in Infertility
Been calling the pharmacy, the RE and my prescription coverage company all day. Getting the run around like crazy! Insurance approved IVF but my meds keep being denied. Someone please tell me how I can be expected to do IVF with no #?/*/(@? -ing meds?!? I know I should be happy anything is covered at all, and I am greatful for that, but this is getting redic. I just want to know its all set before I leave for vacation so I domt have to spend the whole time worrying I stead of relaxing. 
Lilypie - (5WpR)
Me(26)PCOS, Hypothyroidism & Incompetent Cervix  DH(28)Azoospermia
4/11 Off BCPs -- Cycle 1-3 (6months) - No ovulation, Provera
Cycle 4-6 - Provera, Clomid 50mg, CD23BW - All BFN (HSG-all clear)
Dec 2011 DH S/A shows zero count - dx Azoo
TESE 4/13/12 - Sperm found!! 5 viles frozen
IVF ICSI #1- (Lupron protocol) 5R 2F 2dt- 2DP & 4CF - BFFN
IVF ICSI #2-  (Antagonist protocol) Started stims 7/26
ER 8/8 11R 9F 3dt - 9BF & 7BF (+HPT 8dp3dt)TWINS! EDD 5/1/13
<312/9 Joshua David and Zoe Faith born too early at 19w4d due to incompetent cervix <3
Lilypie Angel and Memorial tickers
  LAP Transabdominal Cerclage - 4/15/13 only possibility of carrying my children to term 
IVF#3 - June 2013 -  canceled.
IVF ICSI #3.2- (Antagonist Protocol) 7/26 start stims (same day, a year later from J & Z's stim start date!)
 ER 8/7 19R 9F 3dt of 2- 8BF embryos. (+HPT 7dp3dt) Beta #1 - 82.8 Beta #2 - 821 Beta #3 - 7254
9/11/13 - U/S shows 1 baby HR 135bpm! EDD: 4/30/13
It's a BOY!!
2/9/14 - DX Gestational Diabetes
C-section scheduled for 4/7/14 (36w5d)
Colin Joseph - 1:07pm 6lbs 14oz - 8 days in the NICU
Everyone Welcome!
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Re: enough already!!!

  • rrdiva1rrdiva1 member
    Why are they denying? Sometimes it takes a minute for pre auth. Dr. Office needs to complete and fax back . 
    Married BF 6/29/2002/
    TTC Since Aug 2011/
    ME:34 all clear/DH:41 DX Severe MFI/
    IVF w/ICSI OCT 2012 Stims started 10/8/ER 10/19/12/ET 10/24/Beta#1 11/2=BFN (beta was 1.2)

    IVF 2.0-Baseline 11/7/12 beta 0/All Clear
    Stim start 11/7/12//ER 11/19 11M//10F
    ET 2 embies 11/24//Beta#1 28 Beta #2 23 Beta#3 29
    stop meds Beta#4 37/C/P 5W5D EDD:8/12/13/IVF#3 in Jan

    Ivf 3-frozen 3 poor 3day/fet=bfn

    Ivf#4 New dr. New protocol=beta1 197 beta#2 677 beta#3 1557
     u/s 8/13 =TWINS 2 strong hb
    Due Date 4/4/14

    image

    My Chart//>
    image
    image
    image

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  • RosyGlowRosyGlow member

    OMG - this is the same thing happening to us right now! They approved our Natural FET cycle, but they won't approve the meds we need...which is practically NOTHING to them...it's just an HCG trigger shot (at what, 85 bucks?) and progesterone supplements (at only like 80 bucks). RIDICULOUS. 

    Insurance is a blessing, but it's not without it's PITA moments, that's for sure! 

     

    | Married since 2008 | DH and I: Both 30 | Me: Endometriosis and Carrier of an X-Linked Dominant Genetic Disorder | DH: Low Morph | Planning IVF with PGD and PGS in 2013 | Freeze-All IVF #1: March 2013 ER 3/26. 29R, 12M, 11F. 4 5AA frozen blasts. Freeze-All IVF#2: May 2013 ER 5/15. 31R, 21M, 20F. 6 5AA frozen blasts. Our PGD probe was completed in late June (total of 20 weeks to develop). PGD and PGS Results came on 6/19: 3 healthy embryos (normal chromosomes and unaffected by my family's genetic disorder). FET #1: July 2013 Natural Cycle - Cancelled due to insufficient lining (only got to 7.5mm). FET #1.2: August 2013 - Medicated Cycle with Lupron & Estrogen Patches to build up lining. Single embryo transfer was 8/23. Beta #1: 240! Beta #2: 578! U/S on 9/19 at 6w4d: We saw the heart beating at 131bpm. Second U/S on 10/4 at 8w5d: We saw the heart beating at 178bpm. EDD 5/11/2014
    image
    PAIF/SAIF/Everyone Welcome! 


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  • krdesikrdesi member

    Ugh! I am sorry you are dealing with this! I hope it gets sorted quickly!

    This is probably not what you want to hear, but my cousin had insurance coverage for IVF and still had to pay in full for her medications. Not sure why/how that happens but I was worried about the same thing since my prescriptions are covered by a different company than my health insurance.

    Good luck!


    **Siggy/Ticker Warning**   

             image
                  TTC #1 since May 2012

                  May 2013: First R.E. appointment

                  DH: SA is good

                   May 2013: CD3 Blood work-normal
               June 2013: Hsg-Right tube blocked

                   July 26, 2013: Starting Follistim for IVF #1

                  August 2013: IVF #1 Cancelled- Abnormal embryos

             October/November 2013: IVF #2 w/ICSI

                        November 8, 2013: Transferred two early blasts (no frosties) 

    November 18, 2013: First EVER BFP! 

    Beta#1: 91  Beta#2: 288

    1st U/S- 5w2d Saw yolk sac!

    3rd U/S- 7w4d HB of 157bpm!

    TEAM BLUE!

           http://movingtolight.blogspot.com/

          imageimage

                                        BabyFruit Ticker

                                        BabyFetus Ticker

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  • RoeniRoeni member
    My insurance covered my fresh cycle but not the medications-I had to pay about $6000k out of pocket for the meds alone! 
    Report Reply
  • thecuddleeffectthecuddleeffect member
    imagerrdiva1:
    Why are they denying? Sometimes it takes a minute for pre auth. Dr. Office needs to complete and fax back .nbsp;

    No idea, just to frost me I guess! I'm hoping all they need is even more info from my doctor. It's just foolish.
    Lilypie - (5WpR)
    Me(26)PCOS, Hypothyroidism & Incompetent Cervix  DH(28)Azoospermia
    4/11 Off BCPs -- Cycle 1-3 (6months) - No ovulation, Provera
    Cycle 4-6 - Provera, Clomid 50mg, CD23BW - All BFN (HSG-all clear)
    Dec 2011 DH S/A shows zero count - dx Azoo
    TESE 4/13/12 - Sperm found!! 5 viles frozen
    IVF ICSI #1- (Lupron protocol) 5R 2F 2dt- 2DP & 4CF - BFFN
    IVF ICSI #2-  (Antagonist protocol) Started stims 7/26
    ER 8/8 11R 9F 3dt - 9BF & 7BF (+HPT 8dp3dt)TWINS! EDD 5/1/13
    <312/9 Joshua David and Zoe Faith born too early at 19w4d due to incompetent cervix <3
    Lilypie Angel and Memorial tickers
      LAP Transabdominal Cerclage - 4/15/13 only possibility of carrying my children to term 
    IVF#3 - June 2013 -  canceled.
    IVF ICSI #3.2- (Antagonist Protocol) 7/26 start stims (same day, a year later from J & Z's stim start date!)
     ER 8/7 19R 9F 3dt of 2- 8BF embryos. (+HPT 7dp3dt) Beta #1 - 82.8 Beta #2 - 821 Beta #3 - 7254
    9/11/13 - U/S shows 1 baby HR 135bpm! EDD: 4/30/13
    It's a BOY!!
    2/9/14 - DX Gestational Diabetes
    C-section scheduled for 4/7/14 (36w5d)
    Colin Joseph - 1:07pm 6lbs 14oz - 8 days in the NICU
    Everyone Welcome!
    Report Reply
  • sunflowermama42212sunflowermama42212 member
    with my insurance I had to call in a refill every 2 days because they didn't want to supply me with more than what i needed so if your pharmacy or RE doesn't request your meds exactly how the policy requires it than that might be why they are denying it. But that's just what happened to me..
    Report Reply
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