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December 2010 Moms
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stupid insurance

kj07kj07 member
in December 2010 Moms

I needed to visit an RE to get pregnant with B.  The diagnosis was unexplained infertility.  It took us about 2 years of trying before he was conceived.

11 months ago, after 3 months of trying, I got pregnant naturally, but miscarried.  Since then, though, I haven't been able to conceive again so I talked with my OB and she agreed that it was time to go back to RE.

And I just got a letter from my insurance denying the referral because "it way.ysn't medically necessary."  My work switched carriers last year and our new carrier is such a pain the azz and just overall sucky and expensive.

I sent a note to my OB and we'll appeal, it's just such a pain, and it just delays things.  

Grrr

photo 8653f130-7264-42f4-8d67-9a73d64cacce_zps8c973e49.jpg

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BFP #1 4/14/10. Big B born 12/28/10.


BFP #2 5/27/12. EDD 2/1/13. m/c and D&C 6/21/12.
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Re: stupid insurance

  • bumpuser260585bumpuser260585 member
    That really stinks. I hope your OB can get it straightened out. I know the dr's office I used to work at would change diagnosis codes to getthings approved sometimes.
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  • xxbabycakesxxxxbabycakesxx member
    Aww, sorry insurance is bing a PITA.  Hope your doctor can help fix it though.
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  • chickaboo1974chickaboo1974 member

    Infertilty is not always covered- unless you live in about 10 states that have some kind of mandated coverage- then there are some loopholes that some companies can be able to not offer it.  your work could of changed its coverage for infertilty.<

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  • kj07kj07 member

    I know it's not always covered, but then wouldn't it have been denied because it's not covered service, instead of giving the reason that it's not medically necessary?

    My previous insurance didn't cover it all.  It gave me a discounted rate

    photo 8653f130-7264-42f4-8d67-9a73d64cacce_zps8c973e49.jpg

    Baby Birthday Ticker Ticker



    BFP #1 4/14/10. Big B born 12/28/10.


    BFP #2 5/27/12. EDD 2/1/13. m/c and D&C 6/21/12.
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  • chickaboo1974chickaboo1974 member
    imagekj07:

    I know it's not always covered, but then wouldn't it have been denied because it's not covered service, instead of givin

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  • bosha711bosha711 member
    ugh, I'm sorry! Things like that just add insult to injury. I hope it gets straightened out & best of luck to you guys with TTC.

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