Hi all! My husband is AD Army. I have had limited interaction with Tricare, thus far. However, my OB wants to run some tests to confirm PCOS. DH and I are anxious to start a family. And after our first loss, and with my reproductive health in serious question, we want to start sooner rather than later. Now, I know that infertility is a word Tricare doesn't like to hear. I know they don't cover anything coded as infertility. Because the testing isn't really for infertility, but rather the diagnosis of PCOS, what coverage can I expect? According to the insurance lady at the OB's office, Tricare is "crap" and won't cover any of the testing. (By testing, I mean CD3 bloodwork, HSG, and CD23 bloodwork.)
So, I called TriWest and the CSR said that the OB has to put in for prior authorization for the testing. Makes sense. I guess my questions are, what is your experience? Did Tricare cover testing? What can I do to help make this work in my favor? Once I get a diagnosis, will Tricare cover any meds to increase the chances of ovulation?
Thanks so much for any input you have! I really appreciate it!