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Old 07-21-2006, 12:38 PM
rexie's Avatar
rexie rexie is offline
Reasonable Insanity
 
Join Date: May 2006
Posts: 479
getting surgery covered when insurance doesn't offer coverage?

Hey everyone,

My doctor is going to schedule me for a labroscopy and an HSG. He thinks the insurance company will cover the surgery if I'm in pain. Therefore, he scheduled me an office visit wherein I complain about pain. He then schedules me for the surgery and viola, the insurance company pays for it.

It sounds great, but I'm curious if anyone has been successful with something like this. If I've been paying out-of-pocket for fertility treatments all of this time and suddenly need a labroscopy, is the insurance company going to KNOW it's for infertility? Or am I giving them far too much credit?

Natalie
__________________
Natalie -32
DH -30
Milwaukee, WI
TTC - 10 years
1st IUI - unsuccessful
2nd IUI - sperm sample inadequate
Follow up semen analysis - results normal for DH (lower count w/ a low motility, but workable)
HSG and laparoscopy on August 17 - small patch of endo removed
1st IVF cycle - transferred two blasts on 2/3/07
HPT - 2/12/07

3rd Beta - 2/21/07 - 5600 progresterone: 104
1st Ultrasound: two sacs and two heartbeats -- TWINS!
EDD: 10/25/07
6/1/07 - 20 week ultrasound - 2 healthy baby girls.

http://www.totsites.com/tot/muppets

Avery and Emmaline -- born on August 19, 2007!
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  #2 (permalink)  
Old 07-21-2006, 12:54 PM
jenedens6102's Avatar
jenedens6102 jenedens6102 is offline
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Join Date: Jun 2006
Posts: 8,747
Natalie,
As long as he terms the test diagnostic versus infertility treatment insurance should cover it. That's what my RE is doing. It's unfortunate enough that insurance doesn't cover treatments and medications but for a test such as an HSG or lap that is needed to determine if there are issues within us women.......oh my!
__________________
Jen - 26 hypothyroidism
DH - 27 (low count, low motility, morphology)
TTC since December 2002
3 failed IUIs, 1 failed IVF
TTC Naturally in 2007 (Fertility Blend)
1 miscarriage March 2007 - ectopic
1 successful pregnancy July 07-March 08
BCP's until we decide to start trying again in 09

Ethan Matthew Edens born 3/17/08 via c-section
6:07 p.m. 8 lbs 7.5 ouncs 21 inches


"God can turn any tragedy into a triumph, if only you will wait and watch"

"Before you were conceived, I wanted you. Before you were born, I loved you. And before you were here an hour, I would have sacrificed everything for you."

http://www.myspace.com/jene6102

http://www.totsites.com/tot/ethan31708

Our first video for Ethan (one of many more to come)
http://www.youtube.com/profile_video...nEdens6102&p=r

Ethan's first laughs!
http://www.youtube.com/watch?v=Ep_-a20Q4o4


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Old 07-22-2006, 10:39 AM
KuddleyGal's Avatar
KuddleyGal KuddleyGal is offline
Waiting Patiently
 
Join Date: Jun 2006
Posts: 2,323
My insurance does not cover IF but it did cover my HSG and couple other labs that were done.
Good luck.
__________________
Me- 32 (lft tube blocked & PCOS)
17 year old DD
Chapter 1 -
12/30/06 - Process has begun
1/14/07 - diag w/ PCOS
2/2/07 - Start Met 1000mg.
2/2/07 - op. hysteroscopy - Remvd 4 polyps
2/21/07 - PCP -insulin-resistant
5/9/07 - Upped Met 1500mg.
7/20/07 Upped Met 2000mg!
*LH(like husband) & I seperated. One Chapter of my life-Closed.
Chapter 2 - THE JOURNEY for MY BABY!
6/2/08 - 1st Consult 4 my new Journey.
NEW PLAN
Begin Pre-Natal Vit.; Mke appt with Psy
HSG 6/18 - lft tube still blocked 2 large polyps
6/20 - Op Hysteroscopy- Remvd 4 polyps AGAIN!
ROAD BLOCK: Endometrial Biopsy done 8/19.
2ww for results - 9/2
Find & select DS
8/16 - Day 3 sono & Labs
? cycle: Day 3 sono; begin clomid; day 12 Follicular Sono
Nothing gets me off this plan!!!


www.myspace.com/sensational_syreeta & myspace.com/infertility_hurts

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  #4 (permalink)  
Old 03-25-2007, 04:58 AM
breanna's Avatar
breanna breanna is offline
Member
 
Join Date: Mar 2007
Posts: 128
My dr. is doing the same thing, my insurance covered diagnosis but not treatment, my insuance tried to deny me once already because of preexisting condition, but i took care of that. I'm really glad he sent me to a diffrent dr. for the surgery because it worked out that not only is does she specialize in laparoscopies and endometriosis, but the timing was right for another dr. who is very good and will be visiting to work on me as well, so with two great dr's they should get every last bit of endometriois out of me, and my insurance will cover it. I'm very excited and on a 5 week countdwn until the surgery. I never thought i could be so excited about getting surgery, but all goes well this should take care of the infertility. Good luck
__________________
Me - Stage IV Endometriosis
DH - Super Sperm
TTC- 2 yrs

8/28 - another ovarian cyst, but starting clomid days 3-7, Follistim day 9, and ovidrel day 12, with IUI days 13 and 14.

9/17 - Progesterone 32.5

9/20 -

9/21 - Beta #1 --- 25

9/25 - Beta #2 --- 273
Progesterone - above 40

11/30- Ultrasound showed active little fetus, HB 152.

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