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Fantastic UPDATE! - Real bad day...

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kmac
Two under two!

Member since 5/07

3703 total posts

Name:
Kris

Fantastic UPDATE! - Real bad day...

So i called my insurance to get the authorization number for my IVF and they asked what type of infertility we have been diagnosed with...I said male factor - now I'm the only one covered on my insurance b/c we figured when I switched we would be covered for IVF--well they said that they would cover the other infertility treatments but IVF would not be covered because it was male factor. I just want to cry...I can't believe this. I thought I had it all figured out and now this. Do you think I can I say it's unexplained?

On top of that I just got a call that my blood work came back and my beta was a 10 and progesterone was very low...I have AF very heavy(sorry TMI) though so if it was anything, I'm thinking it's not anymore. I'm so sad. I have to have more blood work on Thursday.
____________________
UPDATE!!!

We attended the IVF class last night at LI IVF and I asked about the authorization and then spoke to my nurse and she told me to explain it to them that it's "unexplained" after 3 IUI's and 16 regular cycles. So I called back today and after the woman spoke to her manager and they looked through my file...I WAS APPROVED!!! Such a relief. Tomorrow I have to go in and take another pregnancy blood test to make sure my beta is at 0 and then I can start the birth control pill! I'm going to call and get us scheduled for acupuncture now! Chat Icon Chat Icon Chat Icon

Thanks again for all the support yesterday! Chat Icon Chat Icon Chat Icon Chat Icon

Message edited 7/2/2008 3:23:36 PM.

Posted 7/1/08 2:45 PM
 
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MrsRbk
<3 <3 <3 <3

Member since 1/06

19197 total posts

Name:
Michelle

Re: Real bad day...

Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Your RE's office doesn't take care of all the insurance authorizations for you? I never once had to call my insurance company, unless of course I had a question about a bill or explanation of benefits. My RE office took care of everything.

Posted 7/1/08 3:05 PM
 

mom2mgn
Love my family

Member since 2/08

2267 total posts

Name:
Christine

Re: Real bad day...

WHAT? That's crazy!!! These insurance company's come up with something new every day!!!!

I would call Chris Graffeo asap. She helped me a ton with my insurance. Is the authorization number something you are suppose to get on your own?

I'm so sorry.

What did they say about your beta? Do you have to go back for another one?Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/1/08 3:12 PM
 

MrsJoeG
Beyond Blessed <3

Member since 2/08

1482 total posts

Name:
Amanda

Re: Real bad day...

Posted by myson220

WHAT? That's crazy!!! These insurance company's come up with something new every day!!!!

I would call Chris Graffeo asap. She helped me a ton with my insurance. Is the authorization number something you are suppose to get on your own?

I'm so sorry.

What did they say about your beta? Do you have to go back for another one?Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon



Actually now a girl named Valencia is handling the ivf billing and she is very nice. She got back to me within an hour with financial clearance for my ivf. I had her direct line but I cannot find it. I would give your nurse a call and try to get it. I am so sorry for everything you are going through. Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/1/08 3:16 PM
 

SweetTooth
I'm a tired mommy!

Member since 12/05

20105 total posts

Name:
Lauren

Re: Real bad day...

Posted by MrsRbk

Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Your RE's office doesn't take care of all the insurance authorizations for you? I never once had to call my insurance company, unless of course I had a question about a bill or explanation of benefits. My RE office took care of everything.



Same with me.
I hope you can get things worked out. Chat Icon Chat Icon Chat Icon

Posted 7/1/08 3:23 PM
 

BA2008
Need to find some hope!

Member since 2/08

2485 total posts

Name:
Beth -Ann

Re: Real bad day...

I've learned that you must fight insurance companies. So, what do they want you to do...go find another husband? I'm so angry by this.

I had a situation with DH genetic testing. After BC/BS covered mine, they suddenly decided that they don't cover genetic testing. It took me about a year, but eventually they decided they do and covered it. That would have been $4k.

I'm sure there is something you can do. PP's said you need to call that woman at the office. I'm sure she will help. KUP>

Posted 7/1/08 3:51 PM
 

Gertyrae
Peace out Homies!

Member since 5/05

20046 total posts

Name:
Gerty ®

Re: Real bad day...

I agree with the OP's, call the billing office and see what they have to say.Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/1/08 4:04 PM
 

MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Re: Real bad day...

my RE office is takening care of all that stuff with my insurance company.... why does it matter that its male infertility? if it was something eles they would cover it?! i cant stand insurance companys they get you for everything!!Chat Icon im sorry you got this news todayChat Icon praying for you that something will work out!!Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/1/08 4:38 PM
 

kmac
Two under two!

Member since 5/07

3703 total posts

Name:
Kris

Re: Real bad day...

Ladies thank you so much for all the responses and hugs. I put in a call to LI IVF and I'm waiting to hear back, but I am also going to the IVF class there tonight so I'm hoping I can talk to someone about it. I am on progesterone, so maybe I can say that it is both male and female? Fingers crossed. Otherwise I guess it's back to IUI's until we can get my husband on my insurance.

As for the beta I do have to go back on Thursday to have it tested again and I can't start my BCP until it drops to zero.

I'll update you all after the class!Chat Icon

Posted 7/1/08 4:40 PM
 

kmac
Two under two!

Member since 5/07

3703 total posts

Name:
Kris

Re: Fantastic UPDATE! - Real bad day...

bump for update!

Posted 7/2/08 3:24 PM
 

babyfaith
Onward and Upward!

Member since 2/08

3210 total posts

Name:

Re: Fantastic UPDATE! - Real bad day...

First off, congrats on resolving the insurance issue. Did the doc say you were having a chemical pg? I had the same thing happen one cycle and I went back the next day and the beta dropped below 5.

Posted 7/2/08 3:30 PM
 

SweetTooth
I'm a tired mommy!

Member since 12/05

20105 total posts

Name:
Lauren

Re: Fantastic UPDATE! - Real bad day...

Good news!!

Posted 7/2/08 3:42 PM
 

fullofhope13
Please stay little one

Member since 2/08

1158 total posts

Name:
Helen

Re: Fantastic UPDATE! - Real bad day...

I am so happy for you-that's great news and you must be so relieved.
Wishing you all the best!!

Posted 7/2/08 3:51 PM
 

Lee
LIF Adolescent

Member since 4/07

758 total posts

Name:

Re: Fantastic UPDATE! - Real bad day...

Great news!!!!!Chat Icon

Posted 7/2/08 5:00 PM
 

MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Re: Fantastic UPDATE! - Real bad day...

thats great news!!!! im so happy things are working out for you!! best of luck!!!!!!!!!!!!!!!Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/2/08 5:19 PM
 

hoping-wishing
LIF Adolescent

Member since 8/07

533 total posts

Name:

Re: Fantastic UPDATE! - Real bad day...

That is great news!!! Good Luck!!

Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/2/08 7:02 PM
 

BA2008
Need to find some hope!

Member since 2/08

2485 total posts

Name:
Beth -Ann

Re: Fantastic UPDATE! - Real bad day...

Great news!!! Good luck on this cycle!!!!!

Posted 7/2/08 7:11 PM
 

MrsMessina
Thankful for our miracles!

Member since 2/07

7254 total posts

Name:

Re: Fantastic UPDATE! - Real bad day...

Chat Icon Chat Icon Chat Icon That's great! Congrats and good luck!!!! Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/2/08 10:54 PM
 

Gertyrae
Peace out Homies!

Member since 5/05

20046 total posts

Name:
Gerty ®

Re: Fantastic UPDATE! - Real bad day...

Great news....sometimes it just pays to go to the source!!Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/2/08 11:15 PM
 

sfp0701
Liam's Mommy!

Member since 1/07

9764 total posts

Name:
Tricia

Re: Fantastic UPDATE! - Real bad day...

Great update!!!!!

Posted 7/3/08 8:00 AM
 

Bxgell2
Perfection

Member since 5/05

16438 total posts

Name:
Beth

Re: Fantastic UPDATE! - Real bad day...

Wonderful update! Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 7/3/08 8:03 AM
 
 

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