Intro and Question

Twinkie0612 · September 2012

I have been putting off introing here, since I apparently like to live in denial, but I have a question that I hope you ladies can help me with.

A little background:

DH and I have been married for 2 years and TTC just over a year. I had an appointment with my OB/GYN last week and we made a plan for starting IF testing. So far I've had CD 3 bloodwork and DH had a SA, but we haven't gotten either results back yet. I was supposed to schedule my HSG for this month and I just found out that we have absolutely no IF insurance coverage at all and will be completely OOP. I suspected as much, but when I talked to the insurance company to find out if the HSG was covered, they couldn't tell me anything without the billing code.

So here are my questions (also posted on TTGP):

1. Did you do your HSG with your Gyno or a RE?

2. If you don't mind sharing, about how much did you HSG cost?

I am trying to decide if I should start looking for a RE and finish my testing with him/her, or finish my testing with my gyno. He also told me he can do basic treatments (which I know includes IUI, because he talked about IUI a little), but I am afraid that he won't do proper monitoring with any medicated cycle. What I am trying to avoid is having to redo any testing if I have to move on to a RE, since we are completely OOP. To complicate the issue to have my HSG done this cycle, I have to call the doctor's office back by tomorrow afternoon.

Sorry this got kind of long TIA

Blueyed228 · September 2012

Hi and welcome. Sorry you have to be here.

My HSG was ordered by my RE but done in a hospital because radiology does it. Well, a dr does it in the radiology room.

I cant help with the cost since mine was covered by insurance.

I would make an appt with an RE. Treatments really need to be monitored closely and by a specialist IMO.

Best of luck to you.

Twinkie0612 · September 2012

katyj25:
Hi and welcome. I would certainly check with your insurance company once you have the billing code. If your DH's SA was covered and so was the b/w, I would think you have coverage for testing, but not treatment. That is how my insurance works at least. I believe in total, had insurance not covered my HSG, it was around $1500.

Thanks. He actually just did his SA today and I did my bloodwork today, so I am not sure if either will be covered (I am guessing probably not). The doctor's called the insurance with the billing codes for precertification, so I am pretty sure the HSG will not be covered.

BellaLux · September 2012

Welcome Twinkie! My insurance also covered no IF trx....but they did cover diagnosis, so check on that. I had all of my testing done with Gyn and then referred to RE after HSG results. Good luck!

hey_its_jenn · September 2012

Welcome and sorry that you have to be here!

I had my HSG done at the hospital and it was prescribed by my OBGYN. I called my insurance carrier before the procedure and I was told they would cover 80% of it as it is diagnosing infertility (I have BlueCross/BlueShield). After the procedure, I received a bill from the hospital for $897 and one from the performing doctor for $219. That was the full amount and I was billed incorrectly. They are fixing it and and I'm getting re-billed but I HTH!

alpCRNA · September 2012

1) I did my HSG with my OB/GYN. I was unsure of whether or not I should do it with a RE or my OB, but the RE I want to go to is an hour and half away. So, I felt like that would atleast cut out one trip and therefore one less day I have to take off. My OB/GYN also gave me a CD with the hsg on it so I can take it with me to a RE.

2) I was told it will cost about $750 after insurance. My insurance covers 80/20 for testing only but I had to meet the $500 deductible first.

shannonm97 · September 2012

Welcome. I had my HSG done by my OB/GYN. They sent copies to the RE when I went to him, so I didn't have to do it again. My insurance, which is a really crappy self funded plan, covers testing done through the OB/GYN office. I know co-workers have had u/s, b/w, etc. done at the OB/GYN and taken results to RE just so insurance will pay it. It all depends on the diagnosis code. See if there is any flexibility in the code they use; maybe they can find one that would be covered. Good luck.

rrdiva1 · September 2012

::Waves hi my friend! Sorry you have to be here,but these ladies rock, so welcome!!!!

Did you do your HSG with your Gyno or a RE? I had my OB do it, because she did the basic testing. Plus I felt really comfortable with her. I did not want to run to RE, and even know we have ins that covers I felt like that is sometimes what drives costs up. Because with specialists comes specialists prices. We sought a RE when we were dx with MFI.

2. If you don't mind sharing, about how much did you HSG cost?I believe my EOB said it was like $500

baker916 · September 2012

1. Did the HSG with our RE. If you think you'll go to an RE, personally, I'd just get the testing done there. Some clinics are picky about who does the test, and they may make you repeat things if you did them elsewhere.

2. The HSG was ~$500

Sorry you're OOP, we're in the same boat. Good luck!

twistsandturnsto2 · September 2012

BellaLux:
Welcome Twinkie! My insurance also covered no IF trx....but they did cover diagnosis, so check on that. I had all of my testing done with Gyn and then referred to RE after HSG results. Good luck!

Welcome. This.

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