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IVF retrieval/transfer--Hospital or Dr's office??

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cg511
LIF Infant

Member since 8/06

262 total posts

Name:

IVF retrieval/transfer--Hospital or Dr's office??

Just curious where you had the procedures done? My sis in law has the same insurance and had her's done in the office and it was 75% covered. The insurance that we both have is GHI for office visits and Empire for hospitals. Unfortunately, I just found out that my Dr. does the procedures in the hospital, and the Empire coverage does not cover any IVF. So, instead of the fresh cycle costing me $1,200, it'll cost close to $4,000. (GHI is still going to pay for 75% of the embryologist fees, blood, etc.).

I was thinking of switching to another dr. to save money, but we decided to try one fresh and a frozen cycle with my current dr. I really don't want to switch now, even though we'll have to struggle to pull together the extra money.

It just stinks that we are getting screwed over a technicality.

Posted 3/22/07 4:03 PM
 
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karacg
Babygirl is 4!

Member since 5/05

17076 total posts

Name:
Kara®

Re: IVF retrieval/transfer--Hospital or Dr's office??

Is your Dr. an RE?? I think most REs are set up to perform the procedures in-house.

My IVFs were done at the clinic my RE is at.

Posted 3/22/07 6:27 PM
 

halisa
adore

Member since 7/06

2168 total posts

Name:
lisa

Re: IVF retrieval/transfer--Hospital or Dr's office??

i have ghi with empire for hospital. my doctor, dr. brenner at li-ivf, does transfer and retrieval at mather hospital. i had to pay upfront for the retrieval and 2 transfers.

unfortunately, i had to pay mather hospital for other things too, seperate from my dr. bills, at least another 2000. after awhile, i didn't even now what i was paying for, but i do know that even with insurance, i ended up paying over 15k after all the other charges and copays, etc. for the whole process.

i wish kara would send the refund fairy over to queens. Chat Icon

eta: i had genetic tests (pgd and cvs) done so my overall charges were much higher than yours might be. i hope i didn't freak you out about money. i just wanted to show you, that even with insurance things add up. good luck!!

Message edited 3/22/2007 7:26:54 PM.

Posted 3/22/07 7:24 PM
 

rose825
Best Friends

Member since 6/05

10228 total posts

Name:

Re: IVF retrieval/transfer--Hospital or Dr's office??

I used NSUH also and got that lovely charge. I think this happens with all the hospital based clinics.

And apparantly some non-hospital ones that use hospital space.

Posted 3/22/07 9:26 PM
 

cg511
LIF Infant

Member since 8/06

262 total posts

Name:

Re: IVF retrieval/transfer--Hospital or Dr's office??

I also use Dr. Brenner.

They quoted me with $2,690 for the hospital, plus the 25% GHI copay for the embryologist fees, blood, etc.

I think the $2,690 is for the actual ambulatory aspect and anesthesea.

What "other" fees did Mather charge you, or is that rolled up in the $2,690?

DH and I sat down and decided to that we really don't want to switch dr.'s, at least for now. We are hoping it'll work the first try, and if not, hopefully, they'll be some frozen leftover and the frozen transfer is a lot cheaper (like $1,200).

kara--What practice do you go to?

Posted 3/23/07 7:12 AM
 

halisa
adore

Member since 7/06

2168 total posts

Name:
lisa

Re: IVF retrieval/transfer--Hospital or Dr's office??

Posted by cg511

I also use Dr. Brenner.

They quoted me with $2,690 for the hospital, plus the 25% GHI copay for the embryologist fees, blood, etc.

I think the $2,690 is for the actual ambulatory aspect and anesthesea.

What "other" fees did Mather charge you, or is that rolled up in the $2,690?

DH and I sat down and decided to that we really don't want to switch dr.'s, at least for now. We are hoping it'll work the first try, and if not, hopefully, they'll be some frozen leftover and the frozen transfer is a lot cheaper (like $1,200).

kara--What practice do you go to?



the $2690 is just for the actual retrieval and transfer. retrieval=1648, transfer=1042. that does not include anesthesia. i got a seperate bill from them for about $500. i asked them to try to submit it to ghi and they did and it was covered.

i got a bill for over 1131.25 from mather for other stuff and as i look at it to try to explain it to you, i am more confused then ever. so i'm going to call ghi right now, i hate the feeling that someone, either the doctor's office or insurance, could be taking advantage and i really wouldn't know it. there are charges left and right for things and it is never clear to me. even when i get those explanation of benefits from ghi, it will have a vague description of service provided. ugh Chat Icon

sorry if i'm no help and confusing you more. i wouldn't have switched from dr. brenner. i really liked him and i'm sure there's a substantial amount due anywhere you go, because it's really ghi.

good luck!!Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon Chat Icon

Posted 3/23/07 9:44 AM
 

cg511
LIF Infant

Member since 8/06

262 total posts

Name:

Re: IVF retrieval/transfer--Hospital or Dr's office??

Thanks.

It sounds to me that the additional bill from Mather was the 25% copay for the embryologist fees, etc. OR the extra $1,000 they estimated on top of the $2,690. It doesn't sound like they are taking advantage of you. It sounds pretty consistent with what they told me (if I am understanding you correctly).

I feel the same way. I really want to stick with Dr. Brenner.

Posted 3/23/07 3:36 PM
 
 

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