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I just found out that my insurance is only going to approve my lap procedure on the infertility level instead of the medical level. If it was approved for medical reasons it would be covered 100% with a $250 deductible. Instead it is under infertility and is approved at 80/20% with a $2000 max. In other words, instead of costing us $250 it is probably going to cost us $2000! Crap, crap, crap! My doctor is appealing their decision, but is there anything at all I can do? Do you think I can write a letter of appeal or something. I wouldn't even know what to say! Have any of you had to do that before?
On top of that, my silly washing machine stopped working a couple of days ago....we don't have enough room in the laundry room for the new, much larger machines! They are all a good 3 inches too big for the space we have available. Things are just not going well right now. And I am falling deeper into a depressive state. Darn it!
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![]() Stephanie 26 DH 26 TTC-actively 3 years, not-not trying (hehe) 5 years before that. HSG-10/05 normal. LAP-10/05 endo (Stage III or IV), fibroids & polyps in uterus, and a cyst on left ovary-all removed. Pacemaker-08/06 LAP/Hysteroscopy-03/08 endo removed, tubes flushed, D & C. No fibroids, polyps, or cysts!
Not thinking, talking, or doing anything related to babies. Dh wants a baby-break. 09/08 Started taking Bee Pollen, Royal Jelly, and Propolis-just for fun. www.myspace.com/stephaniehorst http://stephaniehorst.blogspot.com/ |
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My RE couldn't get mine covered either, so my OBGYN did the surgery and took lots of pics for my RE and it was covered 100%. Otherwise we were going to have to pay $1800. I'm not sure if that is an option, but figured I would throw it out there. Things will get better
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![]() Misti 27/ had stage 2 endometriosis/PCOS DH 29/ Great ttc 5 years 2 furbabies Both Bassett Hounds Lloyd and Daisy 7 double IUI's used mixtures of Clomid and Gonal IVF#1 Started Lupron 5/21 6/16 29 follies!!! 6/17 moved up target date!!!!from 6/19 13 eggs 6/20 ET only 1 to transfer!!! 7/2 BETA 12/11 Saw new RE Went on low amylose diet 2nd lap stage 3 endo! 6/12 BETA Starting Embryo Adoption process |
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Oh Stephanie I have no help my insurance only covered my lap 80/20 too. Maybe you could see like it was suggested if your OBGYN could do it. I hope the appeal goes well and they will cover it. As far as the stinking washing machine, Dh and I bought our last set at a used appliance store. They were older models but in very nice condition and clean. That could always be an option if only an older model will fit, and I also know that they have those special stackable ones for apartments maybe that would work. I am sorry this lap is causing you so many issues. Have you had one before? Was it covered then? Call me if you need to talk. And keep us updated about the appeal.
everything works out for you!
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Me- 24 PCOS & Endometriosis Stage II (Lap 1/2007 removed endo and everything else looked good!) Dh- 34 Fine BUTTONS (our kitty who thinks she is human)9/06-11/06 3 Clomid w/ IUI all BFN 9/2007 Follistim Cycle #1 (75 IU) + timed B/D (1 follie) BFN 10/2007 Follistim Cycle #2 (150IU) + 1 IUI (3 follies) BFN - Had OHSS and cysts had to go on BCP 11/2007 Follistim Cycle #3 (150IU) + timed B/D (3 follies) BFN- BCP due to cysts yet again 12/2007 Follistim Cycle #4 (150IU) + B2B IUI's (3 follies) BFN (well possible chemical pregnancy)- OHSS & cysts back to BCP 2/2008 Follistim Cycle #5 (150IU) + timed B/D (4 follies) BFN Natural Cycles Cycle #1-46 Day Cycle, Cycle #2-38 Day Cycle, Cycle #3- 33 Day Cycle, Cycle #4- 37 Day, Cycle #5- 35 Day Cycle Cycle #6 -33 Day Cycle Taking a break from trying to become a momma to focus on myself and my marriage. Working hard in therapy .
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I don't have any advice but I wanted to say good luck and I'm praying for you!!
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![]() DH: 29 Beautiful daughter born 4-23-03 TTC since Feb 2005 - didn't ovulate Started treatment Aug 2006 6 rounds of clomid tubes are open bloodwork is good 3 rounds of femara/follistim/HCG 2 IUIs 6 months of acupuncture Moving on to infant domestic adoption! Officially waiting to be matched!! -- June '08 |
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Oh man, Stephanie, that just stinks. I know how long and hard you have been waiting for the surgery to be done so that you can move on to another cycle. I hope and pray that your doctor will get it figured out with your insurance.
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Me- Unexplained DH- slight morphology issues. Married for 3 years 3 failed cycles of Clomid 3 failed cycles of follistim May 08 - Lap August IVF July 11th - start Lupron July 26th - start stims-follistim and menopur August 6th - ER August 11th - ET (2 blasts!!) August 25th - BETA is in at 2700!!! 8/27 - Beta #2 is 7000 9/8 - 1st US - It's twins!!! 12/1 - Gender Scan ![]() |
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