Hello ladies,
I have a question we just got tricare std this month and we are thinking about either doing iui/ivf or injectible and bed. Currently looking for an RE. So once i find local RE where does he need to send the prescription? He might prescribe gonal, lupron, progestrone, ovidrel.
Some people say if you do injectible and bed, tricare will cover all the drugs. So those who have done this can you please give me the steps you used. Thanks you ladies.
Re: Tricare and Infertility question
4 unsuccessful rounds of Clomid
Clomid 50mg - BFP #1 - February 7, 2010 Missed miscarriage March 25, 2010
Clomid 100 mg - BFP #2 - October 28, 2010 Chemical pregnancy November 4, 2010
IUI #1 - Gonal-F + Ovidrel = BFN
IUI #2 - Femera + Gonal-F + Ovidrel + Endometrin = BFN
IUI #3 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #4 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #5 - Menopur + Gonal-F + Ovidrel + Endometrin = BFN
IVF #1 - Microdose Lupron Flare protocol = BFN
FET = BFN - lost all remaining embryos
IVF 2.0 - In progress. 20 retrieved. 16 mature. 10 fertilized with ICSI. 3, grade I embryos transferred, 7 made to freeze. Currently in the 2ww.
We did IVF at both a MTF and a civilian RE...we used Freedom Fertility pharmacy and although our stimulation meds weren't covered, most of the others were. OOP we paid about $4000 for medication.
Good Luck!
If I were in your situation, I would ask if the RE's billing office is familiar with Tricare. Coding seems to be a crucial part of maximizing what Tricare covers.
Best of luck!
Hi ladies,
Thank you for all your input. I found an RE but he is not in tricare network and he takes Humana. I am in FL and they only have 2 RE in the network. Both of them their website do not say anything about infertility.
lauren2-Are you at Fort bragg? I might have to come to NC and have iui.
Can someone give me the phone/address where my RE will need to send the prescription of meds if i do injectible and bed. I am in tricare south.
I came across this... it makes sense that they covered lauren2's IUI because in north they do cover.
-----------------------
DrTravisMcCoy
I see a lot of Tricare patients, being near a naval base in Jacksonville, FL, and you should know that it can even vary if you're in the Tricare North vs South region. I'm currently in the South region (FL, obviously), but previously practiced in the North region (in KY). They have different rules and slightly different coverages. In the South for instance, they will not cover any of the cycle work that involves an IUI or IVF. This wasn't quite the same in the north region, and they often covered the process in an IUI cycle. FYI, we have to be fairly strict about the coverage, as we have had charts audited by Tricare, and have heard of them coming back to patients requiring that they repay what was spent (on gonadotropins, for example).
Travis W. McCoy, MD, FACOG
Reproductive Endocrinology & Infertility
Florida Institute for Reproductive Medicine (FIRM)
The Center for PCOS
Jacksonville, FL
Like any other medications prescribed by a doctor off base, they can call them in to a local pharmacy or the mail order program, and in some cases, the base pharmacy, but most injectibles are not in the core formulary.
Please don't trust Google for researching Tricare coverage. Their website is https://www.tricare.mil/mybenefit/ProfileFilter.do;jsessionid=T2kPtqnJJq1RbgZ667fvxQXN5HfsPNLFG2JyGTpkqxQhNJC92Hlg!1992934028?puri=%2Fhome%2FMedical%2FIsItCovered.jsp
Their website allows you to enter your region and your status to get accurate information.
Please note this specific page on Tricare's website was updated 11 days ago, so the information is as up to date as you're going to find on the internet. https://www.tricare.mil/mybenefit/jsp/Medical/IsItCovered.do?kw=Infertility+Treatment
You can also call Tricare to ask. It's much better to hear things from the horse's mouth than to trust people online who don't know the difference between MTF services and their Tricare benefits.
Seriously. Call Tricare. In the South region, they go by Humana Military Healthcare Services. https://www.tricare.mil/contacts/
Awesome thanks for pointing out my lack of knowledge. I'm just grateful I don't have to pay out of pocket for my meds.
4 unsuccessful rounds of Clomid
Clomid 50mg - BFP #1 - February 7, 2010 Missed miscarriage March 25, 2010
Clomid 100 mg - BFP #2 - October 28, 2010 Chemical pregnancy November 4, 2010
IUI #1 - Gonal-F + Ovidrel = BFN
IUI #2 - Femera + Gonal-F + Ovidrel + Endometrin = BFN
IUI #3 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #4 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #5 - Menopur + Gonal-F + Ovidrel + Endometrin = BFN
IVF #1 - Microdose Lupron Flare protocol = BFN
FET = BFN - lost all remaining embryos
IVF 2.0 - In progress. 20 retrieved. 16 mature. 10 fertilized with ICSI. 3, grade I embryos transferred, 7 made to freeze. Currently in the 2ww.
Yes, I'm at Bragg. I have everything done with Dr. Parker at Womack.
4 unsuccessful rounds of Clomid
Clomid 50mg - BFP #1 - February 7, 2010 Missed miscarriage March 25, 2010
Clomid 100 mg - BFP #2 - October 28, 2010 Chemical pregnancy November 4, 2010
IUI #1 - Gonal-F + Ovidrel = BFN
IUI #2 - Femera + Gonal-F + Ovidrel + Endometrin = BFN
IUI #3 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #4 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #5 - Menopur + Gonal-F + Ovidrel + Endometrin = BFN
IVF #1 - Microdose Lupron Flare protocol = BFN
FET = BFN - lost all remaining embryos
IVF 2.0 - In progress. 20 retrieved. 16 mature. 10 fertilized with ICSI. 3, grade I embryos transferred, 7 made to freeze. Currently in the 2ww.
Tricare does cover some of the meds....the stim meds are provided courtesy of grants. I thought that was interesting when Nurse D told me that! So, when we cycled at Womack, we got most of our meds for free (the stim meds where given by Dr. P's nurse and all of the other "stuff" was provided by Freedom pharmacy (paid small co-pays). When I cycled with a civilian RE, I had to pay for stims (majority of the cost), but tricare still picked up the majority of the other meds, minus the co-pay.
Good luck with Dr. P, he's a nice guy.
I will also call tricare this week.
I am seriously thinking about coming to Fay I have family in Raleigh so driving to Fay will be a breeze. How hard is it to get an appointment?
The waiting list is pretty long. I got referred to him last September, but didn't get into see him until December. I only got bumped because I had a second miscarriage while I was waiting for an appointment. Julie Anderson is the woman who makes the appointments for Dr. P, so you'll end up speaking with her.
4 unsuccessful rounds of Clomid
Clomid 50mg - BFP #1 - February 7, 2010 Missed miscarriage March 25, 2010
Clomid 100 mg - BFP #2 - October 28, 2010 Chemical pregnancy November 4, 2010
IUI #1 - Gonal-F + Ovidrel = BFN
IUI #2 - Femera + Gonal-F + Ovidrel + Endometrin = BFN
IUI #3 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #4 - Gonal-F + Ovidrel + Endometrin = BFN
IUI #5 - Menopur + Gonal-F + Ovidrel + Endometrin = BFN
IVF #1 - Microdose Lupron Flare protocol = BFN
FET = BFN - lost all remaining embryos
IVF 2.0 - In progress. 20 retrieved. 16 mature. 10 fertilized with ICSI. 3, grade I embryos transferred, 7 made to freeze. Currently in the 2ww.