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Girls who have GHI & are doing IVF

Posted By Message

Pookie78
LIF Infant

Member since 11/10

335 total posts

Name:
Laura

Girls who have GHI & are doing IVF

Hi Ladies, I got a price from my RE for IVF. With GHI coverage it is 7,500. I know when I switch to GHI I will be very lucky to HAVE any coverage, but I was wondering what some of you pay. If I spend the 7,500 and it doesnt work, I dont think I could afford another one. So I am very nervous. Thanks for your input ladies;-


Total out of Pocket expenses...5,319.69
plus meds
plus 1,200 facility feeChat Icon

Help!!!!

Posted 9/6/11 9:18 PM
 
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classc1
LIF Adolescent

Member since 6/10

805 total posts

Name:

Re: Girls who have GHI & are doing IVF

Posted by Pookie78

Hi Ladies, I got a price from my RE for IVF. With GHI coverage it is 7,500. I know when I switch to GHI I will be very lucky to HAVE any coverage, but I was wondering what some of you pay. If I spend the 7,500 and it doesnt work, I dont think I could afford another one. So I am very nervous. Thanks for your input ladies;-


Total out of Pocket expenses...5,319.69
plus meds
plus 1,200 facility feeChat Icon

Help!!!!



Hmmn...not sure what plan you have but most people seem to have the GHI plan I have which covers 75% with a 25% co-pay. For me, that means I only pay 1,200 out of pocket total as my clinic only pays GHI $4,800. What exactly is your plan? Is that $5,319.69 your co-pay? How did you come by that figure? Just know that you do not pay 25% of what someone pays out of pocket if this is the plan you have. You pay 25% of what GHI actually pays the clinic which is substantially less than what someone pays out of pocket. I think out of pocket my facility charges over $13,000. Also..why are you paying a facility fee? Shouldn't that be covered?

Posted 9/6/11 10:21 PM
 

dianadrw
LIF Adult

Member since 5/06

2092 total posts

Name:
Me

Re: Girls who have GHI & are doing IVF

I have GHI where they cover 75% of an IVF cycle. I had IVF in February and this is what I paid:

$1900 co-payment + meds which were approximately another $500-$600

The $1900 co-payment did not include the co-pays I had to pay for each monitoring visit.

Posted 9/7/11 9:04 AM
 

Pookie78
LIF Infant

Member since 11/10

335 total posts

Name:
Laura

Re: Girls who have GHI & are doing IVF

where do you girls go?

Posted 9/7/11 9:28 AM
 

01ellie
LIF Adult

Member since 9/10

2245 total posts

Name:

Re: Girls who have GHI & are doing IVF

i have GHI...it depends on your coverage but i know with mine its a different amount covered if i go to a privately owned office vs. a hospital affiliated clinic.

for example; the facility charges are way more expensive for me if i went to North Shore or Columbia. Everything is more expensive thru a facility with my plan. i was informed even lab work done at a facility is more $ than if it was done at a dr's office.

Posted 9/7/11 9:45 AM
 

TryingSoHard
I know there's angels watching

Member since 4/11

1725 total posts

Name:
Marissa SugaBeans

Re: Girls who have GHI & are doing IVF

I believe with my plan, when we were going to do IVF, GHI would cover everything except my office copay and PGD (if we were having it done) They took care of all of my meds and sonos. I know GHI has different plans so Im sorry I cant help you.

Posted 9/7/11 11:26 AM
 

classc1
LIF Adolescent

Member since 6/10

805 total posts

Name:

Re: Girls who have GHI & are doing IVF

Posted by Pookie78

where do you girls go?



I go to SIRM-NY and see Dr. Tortoriello. I do not get charged a seperate facility charge. However, GHI will not cover ICSI for me as DH does not have any sperm issues. If you plan on doing ICSI then add in another $2,500 if GHI will not cover it. What GHI plan do you have?

Posted 9/7/11 12:02 PM
 

Pookie78
LIF Infant

Member since 11/10

335 total posts

Name:
Laura

Re: Girls who have GHI & are doing IVF

I think its GHI ppo

Posted 9/7/11 4:19 PM
 

JackiePags
They're the love of my life

Member since 8/10

1299 total posts

Name:
Jackie

Re: Girls who have GHI & are doing IVF

Posted by dianadrw

I have GHI where they cover 75% of an IVF cycle. I had IVF in February and this is what I paid:

$1900 co-payment + meds which were approximately another $500-$600

The $1900 co-payment did not include the co-pays I had to pay for each monitoring visit.



This is exactly what my GHI plan told me. I do get injectable covered however.

Posted 9/7/11 5:07 PM
 
 

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