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Old 04-27-2007, 08:22 AM
nlyday's Avatar
nlyday nlyday is offline
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Posts: 156
what to do if u live in a mandated state but insurance says they dont cover if

call ur insurance company and get addresses and fax numbers....submit a pre-determanation letter....including the following:

Attn: Pre-Determanation
procedures and disgnostic codes
testing codes
pharamcutical codes
the reason why you are submiting form
that u understand ur state mandates coverage
medical records
and a copy of the state mandate


the doctor will help u with all this...

and can also appeal a denial of coverage if u hadnt done this part above..but it does take longer...

read my story under the general if support under mandated states also....

hoping this helped some of u ladies out
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MAN(NICK): 30
PAYGE: MY LIL ANGEL...WILL BE 5 IN SEPTEMBER!

A/F:04/27

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Old 04-27-2007, 07:09 PM
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nedege24 nedege24 is offline
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cool info, thanks
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Old 11-28-2007, 06:12 AM
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mommyof3 mommyof3 is offline
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Does anyone know where I can find a list of mandated states?
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Old 11-28-2007, 06:35 AM
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hopeful2bmom hopeful2bmom is offline
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Here is a link to the states that cover...

What Are The Past & Pending Infertility Insurance Mandates/Legislation?
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ME: 36 (low ovarian reserve, poor egg quality, endo)
DH: 37 (inconsistent counts, low motility)
TTC 4 years
IUIx5
IVFx5 BFP on final IVF!

12/19 First U/S(5w6d) TWINS!! saw two sacs, one heartbeat, baby b a little behind we hope he/she catches up! beta 26,000.
Second U/S 1/2 Lost baby B. One healthy baby now measuring exactly on target with HR of 155.
3rd u/s baby b still there but getting smaller baby A is perfect, moving around and has a HR of 172.
1/24 OB appt-baby measuring ahead-HR 173.
3/19 it's a girl!!!!

Riley 3 (Bernese Mountain Dog) Puck 11 (Husky-Shepherd Mix,rescued at 5y/o) My babies!
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Old 11-29-2007, 05:46 PM
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mommyof3 mommyof3 is offline
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Thank u nlylady I will try but I'm so dog gone impatient that I don't know if I can wait to do all that..lol
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Old 05-08-2008, 08:56 PM
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babygood1 babygood1 is offline
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mandated state HELP!

What if you live in a mandated state but your insurance company policy is written in a different state? Example
your main office where you work is located in a non-mandated state but you live in another state that is mandated?
__________________
me: 35-don't know problem
had a baby in 05 no problems, easy.
Dh:38-all good
HSG-Nov.looked good
day -
progesterone 30
12/07-clomid 1, 3-7day
Day 21 test 20
01/08-clomid 2, 3-7day
Day 11
Day
progesterone-98 very high! 3 follies, 2 on the other. 5 total!
2/12-how can you have a level of 98 with no +
3/3-
progesterone 28.8
-Natural this cycle w/ aroma rose scents
-3/13-Af
-3/26-IUI-no meds, o is just fine
4/2-
progesterone 24
4/12-AF
4/22-US
4/25-IUI-DH-82mil-
4/26-IUI-DH-98 mil-
2WW
Day 21,
progesterone 27
5/11 Af
5/13-test w/Re
5/26-2ww
6/2-acupunture
6/3-low
progesterone 7.9 (I think it was from US
6/15-AF
6/18- US.
June:clomid 50mg 4 days, trigger,estro,pro cream
June 27th 116mil, 98mot.and June 28th IUIs 77mil,96mot.
3 follies 23, 23,18
7/3-
progesterone 30
7/10- POAS/TEST at RE -NEG!
7/14-AF, 7/16 baseline testing-all good
Estradiol 1300!
7/18/ clomid 50mg-4days
7/24-US&BLD test follies 21,16,12,10 (45m 90motility)
Progesterone- 40plus?
8/11-af
8/25-2ww
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Old 05-29-2008, 03:20 AM
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Shellyhume Shellyhume is offline
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You may want to get insurance through the state that will provide the most coverage... even if that means paying extra for healthcare... it's still a lot cheaper than trying to pay for IF treatments out of pocket.

Or, move to Massachusetts... we're comprehensive when it comes to IF treatments.
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