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Insurance/oop ladies?

jbeck78jbeck78
in Pregnant after IF

Hi ladies, I am lurking here from 3T, I dont want to intro yet until I get my beta on Monday, but I have a question.

I have insurance that covers diagnostics, but not any procedures, like my IUI. But will the beta and ultrasounds and all that jazz be covered now? I am a moron and forgot to ask before they closed today.

I know that nobody knows exactly, just wondering how it happened it similar situations..thank you and I hope to over here soon :-)

1st Iui+Clomid+Ovidrel 8-13-11 BFP
Beta @ 16dpiui=289
Beta @20dpiui=1309
Beta @24dpiui=3969
IT'S A GIRL..MADELYNN ELIZABETH
Madelynn Elizabeth born 31w6d's due to pre e.
Welcome to the world princess!
3-9-12
3.7lbs/ 17 inches
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Re: Insurance/oop ladies?

  • it'sbabytimeit'sbabytime
    The insurance I had the first IUI only covered consult and diagnosis. I had to pay for every blood draw, ultrasound, all meds. The insurance kicked in once I got my BFP.
    IUI#1 - 05/20/08 = BFP! M/C - 14 weeks :( baby girl
    IUI#2 - 01/07/09 = BFP!!! Twins!! Pre-term labor 20 weeks :( lost twin girls
    IUI#3 - 1/31/10 = BFP!!!! M/C - 8wks :( again
    IVF #1 - 7/2010 = c/p
    FET - 9/2010 = another c/p
    IUI#4 - 2/14/11 = BFP!
    Baby Birthday Ticker Ticker
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  • KaliChickKaliChick member
    Depends on whether or not your RE is covered as an OB or not through your insurance. Mine is but I know a log aren't. Once you get released to OB as long as you choose ine in network you're good.

    Our Journey to Brenden
    IVF #1: 4/11(Follistim/Menopur/Ganirelix) 10 retrieved/8 mature and all 8 fertilized / 2 embies transferred ... nothing to freeze Beta 5/10 = BFN
    IVF Take 2 Long Lupron July 2011
    ER 7/3/11 (our 6th anniversary) - 8 retrieved/7 mature/fert ....ET 7/6/11 - 2 beautiful grade A 8 cell embryos
    Beta 7/18/11 - 149!!! Beta 7/21/11 - 311 Beta 7/28/11 - 2,000 8/5/11 - Empty Sac 8/8/11 - There's a yolk sac and maybe a heartbeat 8/12/11 - Fetal pole, yolk sac, heartbeat 8/18/11 - Baby looks GREAT!
    3 babies waiting on ice


    Lilypie Second Birthday tickers


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  • jesselayne8jesselayne8 member
    I had to pay for the IUI OOP but the insurance payed for blood draws and I had a $30 co pay for each u/s.


    TTC#1 for 19 months with PCOS and MFI IUI#3 + injectables = BFP!!!!  Beta#1-134(13dpiui) Beta #2-392(15dpiui) 
    #1 born December 2011
    TTC#2 - Beta #1 -51@10dpo Beta#2 -1353 @16dpo
    #2 born May 2013
    TTC # 3 June 2014 BFP 12-1-14
    #3 born August 2015 
    #4!!!!!!! due June 2017 
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  • Imanurse03Imanurse03 member

    I would think it varies with your insurance but I know with mine (I had zero IF coverage), once I had a BFP, maternity coverage kicked in and so all my ultrasounds and b/w were covered by insurance at RE's office. 

    Good luck!!  Hope you get to become a regular here!

    Warning No formatter is installed for the format bbhtml
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  • JennPierogJennPierog member
    OMG!! Did you POAS and get two lines??? Congrats! How did I miss your post?!? I'm so happy for you. Since you are Pregnant insurance will cover your betas and ultrasounds at your RE. Since it will be billed as high risk pregnancy monitoring due to IF.





    2004- DX with PCOS

    6/2011- Gonal-F + Ganirelix + Oviderl and Crinone= BFP

    7/7/2011 Beta #1 119 Beta #2 563 Beta#3 4178



    Lilypie Premature Baby tickers



    http://tinypic.com/r/25z7709/8

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  • jbeck78jbeck78

    Thanks ladies, all this stuff is expensive enough, it would be nice if insurance worked in my favor for once..I guess either way I need it, so I will find out..

    Jenn, yes, I have been poas like a mad woman, I tested out my trigger at about 9 or 10 dpt, and then started getting faint +'s, I was/am too scared to believe its true, but still this morning, my lines are getting darker, and now I had my iui two weeks ago today, so I think its the real deal, just waiting for a beta to confirm, I hope to come here soon :)

    Oh and I took 5 digi's also, the first one said "not pregnant" on 9dpiui, but since then I got 4 "pregnant's" but I ran out and am not buying anymore :-)

    1st Iui+Clomid+Ovidrel 8-13-11 BFP
    Beta @ 16dpiui=289
    Beta @20dpiui=1309
    Beta @24dpiui=3969
    IT'S A GIRL..MADELYNN ELIZABETH
    Madelynn Elizabeth born 31w6d's due to pre e.
    Welcome to the world princess!
    3-9-12
    3.7lbs/ 17 inches
    Report Reply
  • JessireeJessiree

    My insurance is the same as yours - just diagnostics for IF, but my betas and ultrasounds were covered at the RE's office. Just make sure they are billed as OB scans and not IF scans - my office messed up on my second one and nearly had me pay OOP for it, and I would have never known if that had been my only one there! GL! Hope to see you over here officially soon! :)

    After TTC with IR PCOS:
    April 2011: Metformin 1500mg + Clomid 100mg + Ovidrel + Prometrium = BFP!
    Beta #1 at 14DPO: 197 Beta #2 at 18DPO: 1296
    At 40w6d, our Team Green surprise came by unplanned C-section and changed our lives forever!

    Lilypie First Birthday tickers
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  • jbeck78jbeck78
    imageJessiree:

    My insurance is the same as yours - just diagnostics for IF, but my betas and ultrasounds were covered at the RE's office. Just make sure they are billed as OB scans and not IF scans - my office messed up on my second one and nearly had me pay OOP for it, and I would have never known if that had been my only one there! GL! Hope to see you over here officially soon! :)

    Thank you for the tip...I also hope to be here soon :) Cant wait for tomorrow morning!

    1st Iui+Clomid+Ovidrel 8-13-11 BFP
    Beta @ 16dpiui=289
    Beta @20dpiui=1309
    Beta @24dpiui=3969
    IT'S A GIRL..MADELYNN ELIZABETH
    Madelynn Elizabeth born 31w6d's due to pre e.
    Welcome to the world princess!
    3-9-12
    3.7lbs/ 17 inches
    Report Reply
  • Sunshine05Sunshine05 member
    My insurance was similar to yours, only diagnostics covered, not procedures like IUI.  My b/w and u/s were covered though, just had to pay my co-pay.  Congratulations on your BFP and good luck with your beta!
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  • jbeck78jbeck78
    Thank you, I had to pay oop for my beta and they say I will for my ultrasounds also, but I am calling my insurance to make sure, ultrasounds are $290 each and they want to do 2 of them before releasing me and 2 betas at $70 each.
    1st Iui+Clomid+Ovidrel 8-13-11 BFP
    Beta @ 16dpiui=289
    Beta @20dpiui=1309
    Beta @24dpiui=3969
    IT'S A GIRL..MADELYNN ELIZABETH
    Madelynn Elizabeth born 31w6d's due to pre e.
    Welcome to the world princess!
    3-9-12
    3.7lbs/ 17 inches
    Report Reply
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