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Not sure how this can be.....Insurance related...

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leighdvm
My golden boys!

Member since 3/06

4419 total posts

Name:
Michele

Not sure how this can be.....Insurance related...

I have coverage for infertility for $25,000 lifetime. It includes everything.....

I will soon be receiving my 3rd drug protocol (this one was about 7K). So far, I've received about $21,000 worth of medicine and I had one ER at $3,000.

I called my insurance company to see how much I had left and she said I only used about $1,200 worth of infertility benefits.....ummmm.......

The medicine must not be being put in as being under infertility, right? I can't think of anything else. I don't want to bring it to their attention though, either, you know?

I would hate for them to figure it out later and then bill me.....WWYD?

Posted 6/12/08 3:55 PM
 
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MrsS518
Big Sister to be!

Member since 7/07

3423 total posts

Name:
Tara

Re: Not sure how this can be.....Insurance related...

My RE office said they bill meds under our normal meds coverage. not under inferility cost. my RE office said i have $10,000 lifetime and will be able to have 3 IVF cycles covered with them. they bill things through your insurance differently for somethings to cut the cost i was told. Hope that helps

Posted 6/12/08 4:02 PM
 

LisaW
Time for me to FLY!

Member since 5/05

13199 total posts

Name:
Did I ever tell you that I hate people?

Re: Not sure how this can be.....Insurance related...

Advanced fertility benefits are only er and et which are billed btwn the re and the ins co at the agreed rates which are MUCH less than the rates people with no insurance coverage pay

b/w and sonos are not billed under that

Posted 6/12/08 4:04 PM
 

leighdvm
My golden boys!

Member since 3/06

4419 total posts

Name:
Michele

Re: Not sure how this can be.....Insurance related...

Ahh, ok, now it makes sense......I thought I was "beating the system"!! Chat Icon

Thank you, ladies!! Chat Icon

Posted 6/12/08 4:52 PM
 

rose825
Best Friends

Member since 6/05

10228 total posts

Name:

Re: Not sure how this can be.....Insurance related...

Lisa's right..

Fidn out though if there is a limitation on your drug benefit.

Posted 6/12/08 5:09 PM
 

dm24angel
Happiness

Member since 5/05

34581 total posts

Name:
Donna

Re: Not sure how this can be.....Insurance related...

Its also only the allowed amount thats applied to your benefits.

Many times things are MUCH les sthen billed.

A sono can be billed at $500 and only $40 is paid and applied.

Posted 6/12/08 10:03 PM
 
 

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