| Posted By |
Message |
WhatToDo222
LIF Zygote
Member since 6/13 5 total posts
Name:
|
Oxford Health Policy Change
I just got back from my IUI with RSNY and while I was there I saw a sign up stating that Oxford has changed its policy and will only cover 4 IUI cycles in TOTAL. And will also not pay anything towards an unmedicated cycle at all.
They listed this number to call for more information 877-512-9340
I am LIVID. I pay 100% of my insurance and it isn't cheap. Bad enough there is no IVF coverage at all, now this? They have some nerve.
I now have to call tomorrow because this was technically my 4th IUI even though my last was in 2012. So I'm wondering if this counts as #4 with their new policy or #1 since the policy change? This is going to be some conversation tomorrow when I call.
Anyone with Oxford and going for IUIs should give them a call to find out all the information.
Message edited 6/9/2013 10:24:02 AM.
|
Posted 6/9/13 10:23 AM  |
| |
|
Long Island Weddings
Long Island's Largest Bridal Resource |
|
|
Oxford Health Policy Change
That stinks! Sorry! Unfortunately, I know how you feel as my insurance company doesn't cover anything. Zero. Everything is oop for us.
|
| Posted 6/9/13 12:32 PM |
| |
|
ac13
LIF Adolescent
Member since 5/09 745 total posts
Name:
A
|
Re: Oxford Health Policy Change
sorry to hear...insurance can be a pain. it's probably your medical plan design as opposed to Oxford - I have oxford and i just received my authorization for FET.
good luck and I hope this IUI worked for you!!
|
| Posted 6/9/13 4:52 PM |
| |
|
Lala08
2 Princesses coming soon!
Member since 12/12 1539 total posts
Name:
|
Re: Oxford Health Policy Change
Oh crap! I go in for my cd3 appt on wed. Supposed to have #6 this month. Oxford already approved me for one more I think. How do I find this out? Call that number or rsny? We are supposed to have unlimited coverage for iui.
|
| Posted 6/10/13 1:54 PM |
| |
|
MrsGoldie
<3 Miracles can happen <3
Member since 9/12 1700 total posts
Name:
R
|
Re: Oxford Health Policy Change
HOLY COW! WTH?!?!?!? I have Oxford /UHC and we are supposed to have IUI #7 or 8 soon (I lost count  ) I guess I'm going to have to make some phone calls. Ours is supposed to be unlimited also, and no coverage for IVF what-so-ever 
If it's not one thing it's another
|
| Posted 6/10/13 3:05 PM |
| |
|
WhatToDo222
LIF Zygote
Member since 6/13 5 total posts
Name:
|
Re: Oxford Health Policy Change
Posted by Lala08
Oh crap! I go in for my cd3 appt on wed. Supposed to have #6 this month. Oxford already approved me for one more I think. How do I find this out? Call that number or rsny? We are supposed to have unlimited coverage for iui.
Call that number. That's the main number to get to your case nurse. Your nurse will explain everything to you. RSNY didn't know much which is why they posted the sign with the number to call.
I spoke to my case nurse and she said that it's true. You get 4 in total but they look at it on a case by case basis. So if you're at #4 and it fails, your Dr. can try to put you in for a 5th and if it isn't approved, you call your case nurse and she may be able to push it through for you. She also told me that because I did have a successful IUI on my 3rd (ending in mc) that it sort of reset the clock for me so the IUI I had on Sunday counts as #1. Like I said, she told me it's the new policy but there are loop holes based on your history.
I can't stand this insurance company. They get worse and worse.
|
| Posted 6/10/13 6:08 PM |
| |
|
Lala08
2 Princesses coming soon!
Member since 12/12 1539 total posts
Name:
|
Re: Oxford Health Policy Change
I called. I hate my nurse. She is not very nice sounding plus i could barely understand her. They are going to submit it. See how it goes. If they deny me I think I am going to ask they monitor me and I do timed intercourse at least I will be on meds to get more follies. Then next month do iui
|
| Posted 6/11/13 1:30 PM |
| |
|
MrsGoldie
<3 Miracles can happen <3
Member since 9/12 1700 total posts
Name:
R
|
Re: Oxford Health Policy Change
Posted by Lala08
I called. I hate my nurse. She is not very nice sounding plus i could barely understand her. They are going to submit it. See how it goes. If they deny me I think I am going to ask they monitor me and I do timed intercourse at least I will be on meds to get more follies. Then next month do iui
Is her name Annette????? My lady was not too nice either and I couldn't understand her either!!!!!! Dhe said it's a case by case thing and they deny it if it's not medically necessary. So basically I got no answers from her UGH
|
| Posted 6/11/13 1:32 PM |
| |
|
PhyllisNJoe
My Box Is Broken
Member since 6/11 9145 total posts
Name:
Phyllis
|
Re: Oxford Health Policy Change
I cannot believe Oxford is at it again! I wonder if I'll be covered when/if I go back? Uckkkk I hate this friggin insurance company. I really do.
Maybe you can request a new nurse?
I like Mine. Her name is Mary Jo ext. 65716. She's very nice, easy to talk to, etc etc etc.
I had it out with her once but I think that was just me being hormonal lol
Worth a shot to call and see if you can change your nurse. I don't see why not.
|
| Posted 6/11/13 1:44 PM |
| |
|
Lala08
2 Princesses coming soon!
Member since 12/12 1539 total posts
Name:
|
Re: Oxford Health Policy Change
Posted by MrsGoldie
Posted by Lala08
I called. I hate my nurse. She is not very nice sounding plus i could barely understand her. They are going to submit it. See how it goes. If they deny me I think I am going to ask they monitor me and I do timed intercourse at least I will be on meds to get more follies. Then next month do iui
Is her name Annette????? My lady was not too nice either and I couldn't understand her either!!!!!! Dhe said it's a case by case thing and they deny it if it's not medically necessary. So basically I got no answers from her UGH
No. I do think it is something like Anan though. I am in limbo right now. Not only may they not approve me but my cycle may have to be cancelled regardless from these cysts. Not happy! Oxford sucks!
|
| Posted 6/12/13 8:14 PM |
| |
|
