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JSDB
<3
Member since 1/13 1329 total posts
Name:
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RPL .
Anyone have luck having insurance cover meds coded as RPL and not infertility? Really nervous about I insurance coverage as my plan sucks
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Posted 12/31/13 2:02 AM  |
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babydreams21
LIF Adult
Member since 12/12 3656 total posts
Name:
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RPL .
I have GHI and use Quest labs. My RE didn't fill out the RLP form bc it would not be covered by insurance. He wrote out the specific tests I needed and I brought that to Quest. I had 20 vials of blood taken. I just paid a copay. I was worried I would get a bill from quest but nothing yet and I did the BW 2 months ago. Crossing my fingers no bill comes.
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| Posted 12/31/13 5:19 PM |
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Michelle1110
My family is complete
Member since 1/12 2338 total posts
Name:
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Re: RPL .
Posted by secretlyTTCagain
Anyone have luck having insurance cover meds coded as RPL and not infertility? Really nervous about I insurance coverage as my plan sucks
My first code was ovulatory dysfunction. Now its RPL and there has been no difference in coverage. Still got my progesterone in oil for $10 .
Call Kofinas and ask the billing lady. They should be very knowledgeable.
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| Posted 12/31/13 8:29 PM |
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Michelle1110
My family is complete
Member since 1/12 2338 total posts
Name:
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Re: RPL .
Posted by babydreams21
I have GHI and use Quest labs. My RE didn't fill out the RLP form bc it would not be covered by insurance. He wrote out the specific tests I needed and I brought that to Quest. I had 20 vials of blood taken. I just paid a copay. I was worried I would get a bill from quest but nothing yet and I did the BW 2 months ago. Crossing my fingers no bill comes.
I think she means the diagnostic code.
BUT regarding the recurrent loss blood work, GHI covers it 100%. My re wouldn't let me use quest for it so GHI sent me the $ to pay the bill.
You def should not get a bill.
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| Posted 12/31/13 8:34 PM |
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JSDB
<3
Member since 1/13 1329 total posts
Name:
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Re: RPL .
I did mean the diagnostic code. My bloodwork was 100% covered but my insurance is changing (still no infertility coverage) but wasn't sure if meds would be covered if its coded RPL and not infertility. Or if meds are considered treatment and are not covered. I am talking about things like lovenox and progesterone
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| Posted 12/31/13 9:38 PM |
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PennyCat
Just call me mommy :)
Member since 7/08 19084 total posts
Name:
Jib
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Re: RPL .
Posted by secretlyTTCagain
I did mean the diagnostic code. My bloodwork was 100% covered but my insurance is changing (still no infertility coverage) but wasn't sure if meds would be covered if its coded RPL and not infertility. Or if meds are considered treatment and are not covered. I am talking about things like lovenox and progesterone
Lovenox is not a fertility med in any way. It's a blood thinner. Men can use it! ;)
Progesterone shouldn't count as a fertility med either, honestly. When I think fertility med, I. think things like Gonal-f or menopur.
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| Posted 1/1/14 9:13 AM |
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JSDB
<3
Member since 1/13 1329 total posts
Name:
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Re: RPL .
So why is it so hard to get lovenox covered by insurance? (I have been googling and a lot of people have said this)
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| Posted 1/1/14 9:54 AM |
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PennyCat
Just call me mommy :)
Member since 7/08 19084 total posts
Name:
Jib
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Re: RPL .
No clue, I've had a few different insurances and never had a problem. Actually come to think of it, for me the generic was covered. It was never a problem.
Eta: maybe you googled that people had trouble getting the brand name covered, but generic is fine. I actually used the 'real' lovenox a few times and prefer the needle and syringe on the generic.
Message edited 1/1/2014 10:09:04 AM.
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| Posted 1/1/14 10:07 AM |
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