Infertility
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EOB (insurance ?)
I just signed up for new insurance in December with my new employer. I could have done it earlier, but my HR guy is a dweeb.
Anyway, my new insurance states that specialty visits are $40 copay. Whenever I went to the RE or OB with my old insurance, that had the same copay, I paid $40. I go to the new RE, and I get my EOB and I am being charged the full $240.
Can I argue that this was a specialty visit? Their reason on the back of the EOB said "no infertility coverage". I know, I know. I should have called and checked, but I was so darn excited about this new doctor. I don't mind paying through the nose for procedures and imaging, but the standard visit is another world. Jeez.
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Re: EOB (insurance ?)
Are you sure you don't have speciality vists with diagnostic procedures covered? I dont have IF coverage either...but they will cover the RE visit and any diagnostic procedure like b/w, initial u/s,..possibly a HSG. They wont cover fertility meds of any kind....and probably not the monitoring when I take Clomid (extra b/w and u/s).
Also...it depends on what the RE office coded your visit. Do you know what ICD-9 code they used? Mine used 'evaluation' and therefore SHOULD go through no problem (will wait and see my EOB).