@wildtot I believe I saw a one off thread last week about EIF! I'm sure everything is ok but it's good to check it out.
On another note my insurance didn't cover ANYTHING from the anatomy scan which is BS so I'm gonna call them on Monday. It's fine since it goes to the deductible and comes out of our HSA which is mostly funded by DH's company for the amount of the deductible, but still. It's not like it's an elective exam! And now I'm wondering if they'll charge me for the additional growth scan they want to do in 3 weeks.
@kissableviv my insurance works the same way and they covered almost none of the genetic testing we did...like, $400 out of $1900. Like you said the balance is covered by the HSA for us which is funded by DH's company so we aren't paying but when I called and ASKED what they would pay for and gave them the CPT codes, they said they would cover it. They also covered the second blood draw completely. One of the things not covered for us was the ultrasound so I am also wondering if they will cover the anatomy scan at all.
So far most of my scans and testing haven’t been fully covered but i have a deductible so maybe that’s why? I don’t remember paying last time but maybe i had already met my out of pocket by then. I’m gonna call and ask now.
Insurance is weird. On my current plan that expires in a few days, everything prenatal is covered, and there's no copays. So all office visits, ultrasounds, lab work, and standard genetic testing is covered. The NIPT would have Been extra but the regular NT bloodwork was covered. Last pregnancy I had probably 10 ultrasounds and it was all covered. That being said, anything not considered preventative/prenatal is 100% my responsibity until my 2,500 deductible is met, and then I pay 20% after that. So prenatal care was free last time, but towards the end when I needed monitoring in the hospital, non stress tests etc we had to pay for all of that out of pocket. Then I owed the hospital like 8,000 after my son was born. I guess I'd rather pay towards my deductible all along then suddenly get slammed at the end. I find it really frustrating that plan documents are not clear on how pregnancy is covered. Like yes, they say maternity services are covered, but don't specify what is 100% covered and what is subject to deductibles and copays. I had to call and ask about it to find out.
Thanks ladies and yes, I need to call and ask. I do have to pay part of all the exams until I hit my deductible, but it's like 10% of the total, and my doctor already told me how much it's going to be and it was very reasonable. I'm suspicious because this was a different office (since all the others were booked). Also one time I got a bill for $500 for a blood test that was part of an annual physical, and I had to call and complain and they said "oh sorry we made a mistake!". Basically I will fight any bill just in case, lol!
Ultimately this plan still works for us for tax reasons so I'm still happy with it, but anything above $100 raises a huge flag for me, haha!
We'll just have to start walking a bunch. We get $ in our HSA for doing that and other silly things with our Fitbit so I guess I'll stop making fun of DH for keeping on top of it!
@wildtot that sounds hopeful that the doctor isn’t too concerned! And that you’ve heard some reassuring stories, it’s always helpful to hear from those who have been through something so similar. It’s too bad there are all these things that can mean one thing or nothing at all! Do you have another scan coming up to check on it?
@julianne0 I’m waiting to hear back from my doctor since the results were given to be by another at the center. I plan on asking for another scan in a few weeks. We are trying to stay on the positive side after reading some stories.
I’m having the same issue with insurance from my first round screening. They had rejected me for cystic fibrosis screening and charged me an arm and a leg even though it’s included in their policy for those with Ashkenazi Jewish background.
After talking with the doctor’s office and insurance it appears the issue was they didn’t provide the right diagnosis codes and only gave them 1 code in total when several are required for my testing. They’re already working to resubmit and said not to worry about it. I even called quest and they said to feel free to let my insane bill “rot in a corner while they work it out for me with the doctor and insurance”. Fingers crossed!
That’s good @nimmle. I know I had blood tests at my first on appointment and got a bill on the mail saying I owed over $100 and in that same set of mail I had my insirance’s EOB saying I only owed like $17 or so. I was furious. I still need to call and get the $17 or whatever paid. LOL.
@nimmle we had something similar in our first pregnancy, I did the genetic carrier testing because of Jewish heritage and they told me it would be covered. Then I got an EOB from insurance saying we owed $8,000!!!! I freaked out and sent it to the doctors office, and they assured me I could ignore it and they would take care of it. Never heard another word about it, so I think either they reran it and fixed the codes, or the doctors office just waived it for us since they told us it was covered.
Finally got to speak with my OB and she assuring me that the white dot is nothing and can be a normal occurrence in some pregnancies due to advancement in equipment seeing things we didn’t before. Since I’ll be having a c section a growth scan is not really needed unless my tummy measurements are off or i developed GD or other complications. So for now i won’t get to see the baby till birth. Here’s to a healthy event less second half!
So it appears there were some concerns on our AS - baby girl has a small choroid plexus cyst and had her hands clenched/hidden most of the ultrasound. Isolated, neither on pe of those is concerning, but together my nurse brain jumped immediately to T18 so I’ve been having a breakdown basically all day with worry. I called my doc and requested we draw the Harmony test and I’ll pay OOP if my insurance doesn’t cover it (it’s only $495 in Canada) so now we’re waiting on those results and will have another ultrasound in four-ish weeks.
@comealongponds did they schedule a follow up scan to see if they could get a better view? Sorry your going through that stress! Hope you get your results soon!
@comealongponds when ever someone mentions something in a board that I have never heard of, I Google away to try to learn a bit about it. Although Googling can often cause unnecessary worry with the results, I just wanted to share it seems a lot of other ladies have had similar issues/concerns, yet is seems common the cysts end up shrinking/disappearing with no trouble! I'm wishing you all the best, and may your baby be 100% healthy, and that you get some answers asap so the worrying can be behind you!! ❤
@wildtot not scheduled yet but it’ll get done around 24 weeks
@babybakie the cyst alone I wouldn’t worry about, it’s a very common finding, it’s that in combination with her clenched and hard to see hands that has me concerned as those are markers for T18. Hopefully she’s okay and just stubborn like her mama and older brothers.
@comealongponds so sorry you’re going through a worry did the u/s tech indicate a concern or have a doctor speak with you after the scan? I bet she is just being a little stubborn! I feel like they always are in there
@julianne0 the tech mentioned she was small (but they actually just had my dates wrong) so it was my doc (GP) that mentioned it when he called me to go over the results like I asked him to.
@comealongponds I'm so sorry that you're going through this stress, it's awful. Chances are that baby is perfectly fine but these possibilities, unknowns and possible markers for things can be so upsetting. Best wishes in the upcoming appointments, I hope you get good news soon.
Wasn't sure where to put this so I guess I'll put it here. We were referred to a pediatric cardiologist to get a fetal echocardiogram because DH had an uncle that died from Marfan's syndrome. (Even though his uncle probably had a random mutation bc no one else in their family has it). So we go and the Dr says everything looks okay and natural, but baby has an extra "string in his heart". He had a thick accent and I couldn't understand everything he said, but the gist of it was that it was an abnormality but it's not super rare. He said everything was fine, but also said we had to come back in 6 weeks. Every time I thought everything was fine, he would say something else that was worrisome. Has anyone ever heard of this? Or had any experience with it? I know I could google it, but I really think that would do more harm than good for my anxiety.
@moguippy no experience but sorry for the stress. I hate those “it’s abnormal but nothing to be worried about comments”. Glad they are doing a follow up scan!
@moguippy I've never heard of that. I did google that phrase and couldn't find much. If the "strings" are the chordae tendineae (which apparently are tendinous chords that connect papillary tissue to the tricuspid valve and bicuspid valve) then it doesn't sound like a problem to have an extra one. I'm absolutely no help but just wanted to let you know I couldn't find anything scary when googling. If it were me, I would call the OB office and ask for a (different doctor if possible) to explain the results of the fetal echo to you and the reason for the follow-up with the cardiologist. 6 weeks is a long time to be nervous especially if it's unnecessary worry.
Married 9/19/09 Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
TTC#1 starting Nov. 2009 3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks Macy Annabelle born at 37w4d on 4/29/15. Diagnosed with Cri du Chat and passed away on 6/6/15. Forever in our hearts. TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
Bumping this back up because we got our Harmony results back today: less than 1:10,000 risk of the three major trisomies! I’m so relieved. We still have a f/u ultrasound this week to get a better view of her hands since she had them clenched and to check on the cyst. My OB wants a growth scan around 32 weeks because of the marginal cord insertion but we’re basically out of the woods, genetic abnormality wise.
@comealongponds yay! That's awesome! I was put on a every 4 week ultrasound but I just got the bill for the second one and it's another $260. So I'll see if I can go to my OB instead because TBH last time I followed up they were not concerned at all about the cord. Glad you're out of the woods!
@comealongponds that is amazing news! I am so happy for you! I hope everything looks great at your ultrasound this week!
Married 9/19/09 Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
TTC#1 starting Nov. 2009 3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks Macy Annabelle born at 37w4d on 4/29/15. Diagnosed with Cri du Chat and passed away on 6/6/15. Forever in our hearts. TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
Well, I’m trying not to freak out. I am being referred to a high risk specialist. They didn’t get good scans of baby’s eyes/nose/mouth at the first scan so I had a second ultrasound on Friday. I just got a call this afternoon that I’m being referred to high risk doctor because they baby possibly has cleft lip. And apparently my placenta has decided to move lower between the first scan and second so it’s no only 19 mm from my cervix. Needless to say I’m trying to stay calm (my husband started to freak out a bit when I called him). I have a friend (much older than me) whose youngest was born with cleft lip/palate. She is smart, gorgeous, and pretty healthy so I know it’s not the end of the world. But I’m still worried about what this means for baby, financially, surgeries, etc.
@angleyeskkhr I'm sorry to hear about that! When are you going to see the high risk doctor? My friend's brother was born with cleft palate. It's definitely something that requires surgery but he never had major issues tbh and this was 20 years ago! Try not to stress too much and keep us posted. Hugs!
Re: Genetic Testing Results Thread#2
On another note my insurance didn't cover ANYTHING from the anatomy scan which is BS so I'm gonna call them on Monday. It's fine since it goes to the deductible and comes out of our HSA which is mostly funded by DH's company for the amount of the deductible, but still. It's not like it's an elective exam! And now I'm wondering if they'll charge me for the additional growth scan they want to do in 3 weeks.
Ultimately this plan still works for us for tax reasons so I'm still happy with it, but anything above $100 raises a huge flag for me, haha!
We'll just have to start walking a bunch. We get $ in our HSA for doing that and other silly things with our Fitbit so I guess I'll stop making fun of DH for keeping on top of it!
And yes congratulations @comealongponds!
After talking with the doctor’s office and insurance it appears the issue was they didn’t provide the right diagnosis codes and only gave them 1 code in total when several are required for my testing. They’re already working to resubmit and said not to worry about it. I even called quest and they said to feel free to let my insane bill “rot in a corner while they work it out for me with the doctor and insurance”. Fingers crossed!
I'm really excited to have gotten our amnio/microarray results back today after 18 long days of waiting and thank God everything is normal.
@babybakie the cyst alone I wouldn’t worry about, it’s a very common finding, it’s that in combination with her clenched and hard to see hands that has me concerned as those are markers for T18. Hopefully she’s okay and just stubborn like her mama and older brothers.
Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12
TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks
Macy Annabelle born at 37w4d on 4/29/15. Diagnosed with Cri du Chat and passed away on 6/6/15. Forever in our hearts.
TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12
TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks
Macy Annabelle born at 37w4d on 4/29/15. Diagnosed with Cri du Chat and passed away on 6/6/15. Forever in our hearts.
TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16