View Full Version : Costs of various infertility treatments
Smillow
09-23-2005, 02:54 PM
I thought some of you out there might find this information useful. I know I probably put off making an RE appointment over worry regarding the expense (along with thinking that the next month would be our month...).
We began treatment in July and we have no insurance coverage for any of these office visits, procedures, drugs, etc. and we are being treated in Charlottesville, VA at the University of Virgina.
Initial visit (medical history, submitted 12 months of charting info, included u/s) - $296
Initial bloodwork - $577
HSG(hospital charge) - $290
(Physician charge) - $655
Semen Analysis - $114
Office visit to review test results & recieve Clomid Rx - $72
Office visit to get ovary check (u/s) & lab order - $90
Beta test - $52
Progesterone (7DPO) test - $118
Progesterone suppostiories (40 @ 50 mg - delivered) - $60 (Medmark)
Clomid (5 @ 50mg) - $12.19 (Costco)
Clomid (10@ 50 mg) - $19.98 (Costco)
I think it would be interesting to compare costs, but I understand if people don't want to share :p
jennylou
09-23-2005, 02:57 PM
My insurance covered the initial visit, all bloodwork, u/s, SA (well, DH hadn't met his deductible so it went towards that).
It doesn't cover any drugs.
I've been getting clomid at CVS. It's just under $30 for 50mg, $56 for 100 mg.
Progesterone suppositories - 84=$14 at Drug Mart.
Scooter
09-23-2005, 11:27 PM
Wow, some of those prices are pretty amazing. I switched clinics 1/2 way through to Kaiser, which had 50% infertility coverage. But I'll list the full price here so there's something to compare.
HSG $1600
SA $125
u/s $310 at my 1st clinic and $240 at my 2nd one
IUI $250 (including the wash & insemination)
Consultations depended on the length of time. My most recent one was 30 mins and it was $160. (It was only 30 mins because we were updating my treatment plan and preparing for IVF. An initial consult would have been twice as long.)
karlatta
09-24-2005, 10:05 AM
My insurance randomly covers parts of my treatment. But very little. So I'll post what I have to pay.
Initial Visit - covered - $20
Bloodwork - partially covered - $250 (they wouldn't pay for the CF screening)
Semen Analysis - not covered - $100
Baseline u/s - covered - $45
Follicle check u/s - not covered - $250
IUI - not covered - $400
Sonohysterogram - covered - $20
Medications are covered if they have a use other than infertility. So my Letrozole, Prometrium, Estrogen, and Metformin are all covered at $30/month. I have to pay in full for Viagra (about $80), for trigger shots, and for injectibles.
Nigellas
09-25-2005, 06:36 AM
Wow, Scooter and karlatta - I'm jealous! My IUI is going to cost me $711.00!
karlatta
09-25-2005, 09:49 AM
Nigellas - I am lucky! Is the $711 for everything that goes along with the IUI, or just the insertion? I have to pay $400 for my insertion, $150 for DH's sample, and $250 for an u/s the day before. So I guess my real cost is $800 - it just depends on how you break it down.
Scooter
09-25-2005, 02:04 PM
Nigellas, is that just for the insemination, does that include the wash? Or any of the other things? If you put it all together, here's what my last cycle cost (when I conceived):
2 u/s: $460 ($230 was my copay)
medication:$300 (my copay, not sure the uninsured price)
hCG trigger: $40 ($10 my copay)
IUI (insemination & wash: $240 ($120 my copay)
betas: $10 each (my lab copay, not sure the uninsured price)
So all in all it was $680 with 50% insurance coverage, and uninsured it would have been $1050 minimum, probably about $1350.
Nigellas
09-26-2005, 06:30 AM
Karlatta and Scooter - The $711. 00 I was quoted covers the following: "Lab-sperm processing, hospital fee and professional fee"...
I will also have to pay for all of my ultrasounds during that cycle which are $619.00 each. UGH!
The only good news is that my insurance will cover my Gonal-F and my Ovidrel - I'll only have to pay $15.00 for each of those...
Scooter
09-26-2005, 11:04 AM
Nigellaa, wow, that is really expensive. Are you set on going to that clinic or have you looked at other options in your area?
Lucy Van Pelt
09-26-2005, 12:05 PM
I have Kaiser and I have only had to pay $20 copays for each visit - no matter what it is for. I'm not even sure if I had a copay when I had my hsg test. Dh didn't have a copay for his SA either that I know of. Anyway, if I am mistaken on that, the copays are still only $20 each. My drug prices vary, but no cycle of clomid of femara was more then $10-20.
I didn't realize how fortunate I was...but I sure do now!
Scooter
09-26-2005, 12:21 PM
Lucy, You must have a special plan at Kaiser, because as far as I was aware they only offered two plans. One for the public, with no coverage for IF, and one offered through employers that gives 50% coverage. I switched to Kaiser (& finally conceived with their help) because of that 50% coverage. Oh, and I'm in your area, too, so it's not a regional thing.
MtySheera
09-26-2005, 01:27 PM
The amount of coverage for IF at Kaiser must vary. My plan is like yours Scooter, 50% coverage for everything. But my DH also has Kaiser, which covered all his testing. It turns out he has a $20 copay for anything IF related. I was so mad when I found that out. If I had known, we would have put me on his plan since it was so much cheaper! We were lucky that our first IUI worked, or else we would have been out a lot more $$!
Lucy Van Pelt
09-26-2005, 02:17 PM
I am on my husband's insurance. I am not sure of the specifics, but I do think that the fees are going to change soon...and that can't be good news. :mad:
Hangin'in
09-27-2005, 09:22 AM
I'm going to try and remember what the IF clinic's charges were, my insurance covered most everything.
Labs were $75 per test (FSH = $75, LH = $75, E2 = $75, Progesterone = $75)
Office visit's w/Dr. $300
U/S $250
Sperm Anal. $150
IUI (including wash and insemination) $350
Clomid ~$60
Femara ??? (I paid $10 copay)
Trigger $65
Progesterone ??? ($10 copay)
Prometrium ??? ($10 copay)
My insurance covered all of the bloodwork, office visits, U/S, SA, and the sperm wash portion of the IUI. My monthly out of pocket was less than $300 per month. (I have a $15 copay, but I only pay it when I see the doctor, and have an office visit).
AR mandates coverage for IVF (not IUI), and they don't cover injectibles. They only cover the IVF if it is with my eggs, but it doesn't have to be DH's sperm.
karlatta
09-27-2005, 10:05 AM
AR mandates coverage for IVF (not IUI), and they don't cover injectibles.
Are you serious? I need to move back to Arkansas! I lived there during college, and almost all of DH's extended family is there.
DallasLady
09-27-2005, 02:06 PM
My insurance pays absolutely nothing. No copays, no portions, nothing for fertility.
Initial consult: $275
Sonogram: $120
Sperm wash and IUI: $350
HCG Trigger shot: $65
I'll be adding Clomid to that next month, I dont know how much that will be.
UTChick
10-29-2005, 12:25 PM
I was digging around for the thread about the costs of infertility treatments and can't find it now. So, if you don't mind sharing again, I would appreciate it.
I am calling my doctor on Monday to go in and talk to him about the next step. I have late and, at times, irregular ovulation and I have been off BCP for 11 months now. I am not sure what, if anything at all, he is going to want to try at this point. I am just curious about how much various procedures and medications cost so I have an idea in case my doctor wants to pursue one of those avenues.
I don't know what, if anything, our insurance will cover. DH is going to bring home some insurance info on Monday from work. Thank you in advance for any info you can share.
paisleydays
10-29-2005, 12:41 PM
Hi UTChick-
Sorry you have to think about infertility testing and costs-it really sucks!
The first thing I would do is call Fertility Lifelines 1-866-LETSTRY. They can research your insurance coverage for you absolutely free. They found a little bit of coverage for us (all diagnostic testing is covered under our plan). We then knew what to say when insuarnce companies balked at paying.
I would also recommend going to an RE instead of your OB. Or, if you go to an OB, don't waste a lot of time there. My OB is very, very good at OB stuff, but was not helpful in the fertility department.
As far as costs, here is an average amount that was in one of my books:
Ultrasound-$100.00
HSG-$600.00
Semen Analysis-$200.00
Cycle day 3 bloodwork- $180.00
Consult with RE-$350.00
HIV Testing- $115.00
Pretreatment Bloodwork-$3,500
IUI Bloodwork Monitoring-$735.00
IUI Ultrasound Monitoring-$1,200.00
IUI Meds- $1,500.00
IUI Procedure-$500.00
Pregnancy Test-$285.00
That's some of the basics. Our RE has told us to expect to pay about $12-15,000 for our IVF cycle. Adoption also costs about $10-15,000.
jennylou
10-29-2005, 12:43 PM
My bloodwork is always covered by insurance. I'm not sure if most people's is.
Clomid 50 mg: just about $30 at CVS.
Clomid 100 mg: about $56 at CVS.
Ultrasounds have always been covered by my insurance as they can code it for PCOS and checking for cysts.
My first appointment with the RE was covered as it was diagnostic.
I've never had IUI or anything further than the clomid, so I can't really comment on that.
Oh, the SA was about $300 and my insurance covered that as well.
Hope that helps. :)
UTChick
10-29-2005, 01:08 PM
Thank you both for the info. I talked with my best friend this morning who is an OB/Gyn resident. Based on the info I have given her, she thinks it is definitely time to go back to the doctor. She thinks he will probably want to try Clomid, so I am happy to see it is relatively inexpensive. I will try that phone number and see what kind of info they can give me about my insurance. I went on my ins. company's website and couldn't get my benefits booklet to come up.
Anyone else want to share since I have no idea what lies ahead of me?
Thanks!
UTChick
10-29-2005, 01:16 PM
paisleydays~I just called Fertility Lifelines and the lady was so nice. They couldn't research it for me today since it is the weekend, but they are going to get back to me on Monday. Thank you so much for that number.
When I get the info, I will post it here in case anyone else needs it or if it varies from what you ladies have already posted. I know all insurance companies are not the same when it comes to coverage.
I did Clomid under my obgyn. What happened was he did a progesterone blood test to see if I ovulated and a thyroid blood test. Once those results came back, he put me on the Clomid and I did the progesterone blood test every month. We also did the SA after a few months of Clomid and were going to do the HSG but got pregnant first. I have since had an HSG which was $700 but only a $15 copay for me. Thats just what my obgyn did.
I am seeing an RE now and here are some of his costs:
First office visit which includes ultrasound - $215
Followup visits - $125
IUI - $375 each
Ultrasounds $200 each
IVF - Was told it was $13,000 (have no idea if that includes meds)
Scooter
10-29-2005, 03:06 PM
I think this is the thread you were looking for!
Costs of Fertility Treatment (http://www.constantchatter.com/showthread.php?t=7232)
someone mentioned having to pay for hiv testing. if your insurance doesn't cover it, there are many free clinics that test for hiv. though, i have never heard of an insurance company not paying for hiv testing.
karlatta
10-30-2005, 11:55 AM
I answered in the other thread, but I gave the prices I had to pay with insurance coverage. Here's what my RE charges:
CF Screening: $250 (I had to do this in order for the RE to treat me at all)
Day 3 Ultrasound (to check for cysts): $275
Day 12 Ultrasound (to check for follicles): $250
SA: $100
IUI: $400
All of my bloodwork is covered with a copay, so I have no idea what that would be if insurance didn't cover it.
As far as meds I take:
Letrozole/Femara (like Clomid): $30 for one month
Metformin: $30 for one month
Viagra: $80 for five days
Progesterone: $55 for two weeks
CTs_Punkin
10-31-2005, 07:37 AM
I'm subscribing - I'm also curious about this topic. Am going to call the number to see if they can help me. I'm having a ton of blood work done tomorrow... so hopefully insurance will cover most of it.
UTChick
11-01-2005, 05:01 PM
Thanks for all the info, ladies. Someone from Fertility Lifelines called me back yesterday and took down all my info and said that they will get back to me within 48 hours, so I should know something tomorrow. I will pass along the info when I get it.
CTs_Punkin
11-02-2005, 06:20 AM
I called the number as well and they helped me out a lot.
Found out that testing and diagnostic work is covered, but no treatment or drugs for my insurance..
My HSG will be covered... which is good...
But my Clomid won't... ah well...
We'll go down the road towards IUI or IVF if necessary.
Thanks ladies for all your help.
UTChick
11-03-2005, 03:28 PM
I got some info today.
My insurance will cover:
office visits
testing
lab work
x-rays
meds
I just have to pay a co-pay for those things. They are sending me more detailed info about other procedures.
UTChick
11-08-2005, 07:38 PM
I got the break-down of costs and coverage in the mail yesterday.
100% coverage with $30 copay for:
Office visits (even w/specialist)
diagnostic testing
diagnostic labwork
diagnostic radiological evaluations
Not covered (we pay 100%):
Any testing or treatment after being given an infertility diagnosis which includes ovarian stimulation, ovulation induction, ICI, IUI, IVF, ICSI, embryo storage, etc.
Meds are covered but there is a list I have to follow and there is a possibility of a copay for them.
This is based on our BCBS plan.
Applebee
03-12-2006, 06:18 AM
I have 100% coverage for IVF & meds, including if needed AH or ICSI.
j*east
03-28-2007, 05:50 PM
Bumping to ask: did anyone pay for Femara/Letrozole out of pocket? How much? I didn't make the effort to find a cheap pharmacy and I'm picking it up in two days, so I want to be ready. Thanks!
benoprin
03-28-2007, 06:44 PM
Thank you for having this thread. I am new to family planning.
karlatta
03-28-2007, 06:52 PM
j*east - I can't remember for sure, but I want to say it was in the neighborhood of $50.
mcgwigan
03-29-2007, 03:39 AM
J*east The fertility lifelines people are great...There is also Freedom Fertility Pharmacy, which will overnight meds to you (I think the two are the same). They are definately worth calling, or the do have a website too!
j*east
03-29-2007, 05:14 AM
Thanks, karlatta and mcgwigan! That's about what I gathered on price, and I will check that out for next cycle.
Other prices for me:
--HSG: $1023 for hospital charge, ~$80 radiologist's fee, ~$60 RE fee.
--Office visits with my RE run around $60, more for bloodwork, ultrasounds, etc., which all seem to run around $150-$200. (ETA: These prices are with insurance paying 80% and getting reduced fees b/c insurance companies pay less than drs actually charge people w/o insurance. When my insurance stopped paying, a midcycle office visit with u/s and b/w is $652.)
--My RE gives a huge discount on IUIs for those paying out of pocket: $150. That's the procedure itself, not the u/s and b/w leading up to it (see above), but I'm still happy to pay it. :)
One other tip: my regular gyn referred me to the RE and had me get an u/s for an ovarian cyst at the same time. I got the u/s first, then saw the RE a week later. He did a repeat u/s, so the first (which cost me around $800) was a total waste of time and money, and his are much cheaper, around $200. So...if you're ever in that boat, wait to see the RE (assuming a short wait) BEFORE getting the hospital u/s.
ETA: My Femara ended up being covered by insurance (probably b/c it's not officially a fertility med) and I only paid a $15 co-pay.
craftgenius
03-29-2007, 10:48 AM
My insurance covers absolutely NOTHING related to fertility!! Which sucks!! I don't understand why more companies won't provide policies to their employees that cover fertility. I was pissed that they wouldn't even cover the bloodwork! :mad: It is a woman's health issue that needs to be taken seriously!! Thank goodness I didn't have to go as far as IVF to get pregnant...DH and I wouldn't have been able to afford that $15,000!!!!!!! Anway...here is what I spent. I was on six cycles of clomid with ultrasound monitoring and I had two failed IUIs...
HSG - $385
Clomid - $20 for 50 mg... $40 for 100 mg
Ultrasound monitoring - $140
Novarel trigger shot - $50
Sperm analysis and washing - $150
IUI - Free...all we had to pay for was the sperm washing which was $150
Progesterone bloodwork - $90
sea74
05-21-2007, 04:00 PM
I just posed this breakdown somewhere else so I thought I'd add mine costs to this thread, too!
For IUI
Office visits w/nurse $40 3-5 times
Office visit w/RE $200 2-3 times
Insemination Catheter check $150 one time
urine PG test $25
Transvaginal ultrasounds $185 4-6 times per cycle
Blood tests during monitoring $75 3-6 times per cycle
Progesterone blood test during monitoring $60 3-5 times
IuI $190 2 times per cycle
Complex Semen Prep $190 2 times per cycle
Injection teaching class $80 one time only
Beta tests $60 4-6 times if PG
Venipuncture for blood test $10 as needed
Sunday/holiday service $40.00 as needed.
t3h_wookiee
05-21-2007, 06:05 PM
Lemme see what I can remember.
HSG- $750
SA (strict Kruger)- $125
Transvaginal u/s - $185
Femara (lowest dosage) - $57
When I find my price sheet they gave me I'll put that stuff in too.
we had to tally up our infertility treatment costs in hopes of a tax deduction for last year. we paid nearly $18k for a cycle of ivf. that was including everything.
curlywig
05-23-2007, 06:53 PM
Wow. Our insurance pays 100% of infertility diagnosis and treatment up to a lifetime max of $12K. We're just at the beginning (DH just had a SA, and we get the results tomorrow)...I've had bloodwork and an HSG.
It's interesting to hear the very divergent costs everyone is paying for the same services.
junkinmytrunk
05-23-2007, 06:57 PM
Curlywig: You are supremely lucky to have such comprehensive IF coverage in CA. CA does not require employers to cover IF, and because of such, when I was going through IF treatment it was all out of pocket for us.
It's frightening how much it all costs.
Scooter
05-23-2007, 11:35 PM
CA does not require employers to cover IF...Well, it sort of does and sort of doesn't. CA requires that insurance providers offer "partial coverage." And of course, partial coverage can mean that they only cover a small percentaqe and/or specify only covering certain procedures (like IUI yes, IVF no). But the "offer" part can get you, too. An insurance provider may offer a variety of packages to a company, so now it's mandated to include IF in that. Many employers--especially smaller ones--don't purchase every package an insurance provider offers.
So for example in our case, the insurance co. gave pretty good IF coverage, but offered it as part of a separate package. DH's (small) company decided that it would not be a popular choice among their employees to up everyone's premiums by buying that package when only a few people needed it. So although there's theoretically state mandated partial coverage, our coverage in reality was zero. :mad: :(
junkinmytrunk
05-24-2007, 04:45 AM
Hmmm. Scoot, I know our BC PPO didn't cover a thing. Are you saying that if we had opted for the Kaiser plan or the BC HMO that his employer also offered to teachers, one of those might have had a smattering of coverage?
Not that this matters now, but I swear I don't recall any of them having IF coverage. Given your post, I suspect one of them must have had something then.
Scooter
05-24-2007, 09:38 AM
It's possible one of them had something, but maybe none of them did. Hey, you never know, one day in the future the info might be useful again. ;)
We thought we were just SOL and then at open enrollment time DH went to ask HR if there was any coverage on any of the other options. That's when we found out their Kaiser plan covered 50% of all treatment and meds, IVF not included (what a shock). (ETA this was after we'd already gone through a year of testing and treatment by an RE. So our 2nd year of treatment was partially covered but our first year was out of pocket).
This is from the list of mandated states on the ICIID (http://www.inciid.org/article.php?cat=statemandates&id=275#CA) site.
The California law requires certain insurers to offer coverage for infertility diagnosis and treatment. That means group health insurers covering hospital, medical or surgical expenses must let employers know infertility coverage is available. The law does not require those insurers to provide the coverage; nor does it force employers to include it in their employee insurance plans.
pocahontas
05-24-2007, 07:14 PM
Wow. Our insurance pays 100% of infertility diagnosis and treatment up to a lifetime max of $12K. We're just at the beginning (DH just had a SA, and we get the results tomorrow)...I've had bloodwork and an HSG.
It's interesting to hear the very divergent costs everyone is paying for the same services.
Not in Cali but my ins pretty much pays 100% for everything too (minus co-pays for office visits and Rxs). Not sure if I'm in a mandated state or what (although I think someone on CC from my state who went to my clinic said we are). I have had 3 IUIs approved (which ended up being 6 when I used up 2 at one clinic and switched and miraculously they gave me a brand new 3 more tries with the new RE) and 3 IVFs with a 100K max. But the caveat is you get 3 per live birth. So if you get pregnant...let's say on the second try you are approved for another 3 when you are ready for your next kid. :rolleyes: If you get no luck on any of the 3 IVFs your just SOL and outa pocket if you want to try more.
curlywig
05-24-2007, 08:12 PM
I think it's just insane that companies can get away with such limited coverage, and I know how lucky we are to have this coverage. My sister went through 2 years of IF treatment, without coverage.:eek:
karlatta
05-24-2007, 08:29 PM
I would have loved to have coverage of any sort. In Texas, it's mandated for insurance companies to offer infertility benefits to employers, but it's not required that employers purchase the insurance or offer it to their employees. It sucks.
We did 3 years of IF treatment with no coverage. Thankfully, our first IVF worked, because that was all we had money for.
amygrrl
06-08-2007, 01:51 PM
also, i think a lot depends not necessarily on the state you work in but on the state where the company is headquartered. dh's company is huge and based in a mandate state. so even though we're in CA, we have 100% of meds covered with no caps and 10k in IF treatments lifetime (not including drugs, or any testing. this cap only applies to actual procedures to impregnate you like IUI, IVF, sperm wash, etc.)
taffers
06-11-2007, 02:25 PM
My RE's office said that IVF#1, including everything (meds, ER, ET, freezing, ICSI) will cost around 13k.
Just thinking ahead, but how much is FET if #1 doesn't work? This is of course assuming that #1 wouldn't work, and that you are able to freeze a few. I guess the only difference is that you don't have to do the ER?
At my clinic I think it costs about half as much for FET. The ER and drugs related to it are really expensive, so it's a big savings.
sea74
06-11-2007, 04:55 PM
also, i think a lot depends not necessarily on the state you work in but on the state where the company is headquartered.
My company is HQed in NY and they cover fertility costs for the NY employees. Here in Detroit, they only cover testing for IF not the cure. :(
taffers
06-11-2007, 04:59 PM
At my clinic I think it costs about half as much for FET. The ER and drugs related to it are really expensive, so it's a big savings.
Ooh, that's good, thanks! DH would be pi$$ed that I'm even thinking about #1 not working (he always says I need to think positive!) before we even do it, but I feel like it will make me more relaxed to know that *if* it didn't work, it would cost less next time around. We will still have insurance to cover most of #1, but after that, we'll be OUT so everything will be out of pocket.
karlatta
06-11-2007, 05:31 PM
My RE's office said that IVF#1, including everything (meds, ER, ET, freezing, ICSI) will cost around 13k.
Just thinking ahead, but how much is FET if #1 doesn't work? This is of course assuming that #1 wouldn't work, and that you are able to freeze a few. I guess the only difference is that you don't have to do the ER?
My RE quoted my IVF at $12k (and that's how much it was). He quoted a FET at around $2,500.
mcgwigan
06-12-2007, 07:57 AM
Just curious - did anyone, or anyone you know, argue their insurance company into covering things that was specifically excluded in their policy?
taffers
06-12-2007, 09:38 AM
My RE quoted my IVF at $12k (and that's how much it was). He quoted a FET at around $2,500.
That's not too bad at all! Thanks!
Just curious - did anyone, or anyone you know, argue their insurance company into covering things that was specifically excluded in their policy?
I do insurance defense and insurance coverage, and I would almost guarantee that no one has received coverage for something specifically excluded. If they say they have, it at best must have been a gray area because an insurance company would NEVER cover something specifically excluded. As most of us know, it's difficult enough sometimes to get them to pay for things that ARE covered! :rolleyes: It's too bad they have to make things so difficult!
mcgwigan
06-12-2007, 09:56 AM
It's too bad they have to make things so difficult!
I agree!!
Taffers - Oh, thanks, you're definately the right person to respond! I'm a property/casualty agent actually & know that in P&C there is really no give, but I'm thinking (hoping) health is a little different. I do have a friend who was able to get gum grafting covered at 50% when there was no coverage, so I'm a little hopeful. I have also been reading on another site and someone appealed and got PGD covered with 50% of her IVF...don't know what company or state though!
You'd think for the 9K/year the insurance company gets for my health insurance there'd be a little give!!
mcgwigan, this isn't exactly what you were asking for, but my insurance company spent a year denying claims for recurrent pregnancy loss, saying it was classified as infertility* and they didn't have to pay for that, but I worked with my doctors' offices on rebilling everything as a pregnancy complication, and insurance accepted that code instead.
~ phen
* so frustrating because, hello, doesn't a woman have to be pregnant first in order to have a miscarriage, so why is that infertility? Grrr. stoopid insurance definitions.
amychris03
06-13-2007, 05:06 AM
Our first IVF cost about $13K exactly and our recent FET cost around 4500 if I remember correctly (we have some prescription coverage and that included a massage and accupuncture on the day of the transfer).
j*east
06-13-2007, 06:17 AM
Just curious - did anyone, or anyone you know, argue their insurance company into covering things that was specifically excluded in their policy?
Mine specifically excludes IF treatment, but not diagnosis. They didn't want to cover my HSG and I got billed for it, but I called and argued that it's a diagnostic procedure, even though I had already been diagnosed with IF. They covered it! I was psyched. They've also covered a month or two of monitoring and Femara before realizing that all those u/s and bloodwork were technically treatment.
t3h_wookiee
07-11-2007, 11:58 AM
Moving on to an IUI cycle, here's those costs out of pocket:
Follistim injectables, 3 vials of 300, plus one Ovidrel HCG shot- $694.72
Follicular ultrasounds - $185 each
Estrogen bloodwork - $90
IUI, including sperm washing - $300
JLRenheos
07-26-2007, 05:42 PM
They just faxed them to me today.
Superovulation w/Clomiphene Citrate(Clomid) and Intrauterine Insemination
~Approximate cost for one cycle
~Medications:
-clomiphene citrate $30-100-Range of cost / $60-Typical cost
-hcg $20-40-Range of cost / $30-Typical cost
~Intramuscular injection $16-Typical cost
~Office Visit (2-3 @$45 each) $90-135-Range of cost / $90-Typcial cost
~Ultrasound exams: $300-Typical cost
-(2-3 @ $150 each)
~Semen preparation $200-Typical cost
~Insemination procedure $185-Typical cost
----------------------- ------
Total typical cost $881.00
*Note: If using donor sperm, please add the *approximate* costs below to the above costs
Frozen donor semen(per vial) $155-300
Semen shipping $95
JLRenheos
07-26-2007, 06:05 PM
Superovulation with Injectable Gonadotropins and Intrauterine Insemination
~Approximate cost for one cycle
~Medications:
-gonadotropins $500-$4,700-Range of cost / $1,200-Typical cost
-hcg $40-80-Range of cost / $60-Typical cost
~Estradiol blood tests: $140-280-Range of cost / $273-Typical cost
-(2-4 @ $91 each)
~Office Visit: $90-180-Range of cost / $135-Typical cost
-(2-4 @ $45 each)
~Ultrasound exams: / $450-Typical cost
-(2-4 @ $150 each)
~Semen preparation / $200-Typical cost
~Insemination procedure / $185-Typical cost
------------------------- -----------------------
Total Typical Cost: $2,503.00
*Note: If using donor sperm, please add the *approximate* costs below to the above costs
~Frozen donor semen (per vial) $155-300
~Semen shipping $95
ktnkids
07-16-2008, 02:07 PM
I'm so not looking forward to going through all of this. I just looked through my plan and found out that only diagnostic IF is covered---no treatments at all. But I had and HSG done last month and now they're saying that's a treatment so I have to pay $1350 out of pocket b/c it was infertility. Needless to say I'm having an argument w/ insurance right now...
I live in MO maybe I'll get a trailer in IL b/c it's mandated coverage over there. I hate insurance!!!!
NotDesperate
07-16-2008, 05:53 PM
HSG is NOT a treatment! It is a diagnostic test to see if the tubes are blocked! Sometimes it can be helpful as it may unblock a partially blocked tube in the process but that is certainly not the purpose or intent of the HSG. If you research HSG as treatment online, you will see it is controversial and not really proven or reliable. I know you know this, but gees, how annoying!
I hope you get out of paying that!
sea74
07-16-2008, 06:29 PM
I'm so not looking forward to going through all of this. I just looked through my plan and found out that only diagnostic IF is covered---no treatments at all. But I had and HSG done last month and now they're saying that's a treatment so I have to pay $1350 out of pocket b/c it was infertility. Needless to say I'm having an argument w/ insurance right now...
I live in MO maybe I'll get a trailer in IL b/c it's mandated coverage over there. I hate insurance!!!!
HSG is completely diagnostic. They are checking to see if your tubes are blocked or if there is anything out of the norm in there. If your doctor didn't code it as diagnostic MAKE them re-code it.
ktnkids
08-11-2008, 05:00 AM
Insurance co went back and reviewed my claim and now I just have to pay the $75 hospital fee. That's a releif!
Did any of you try herbs to restore O?
babylove
08-21-2008, 07:48 AM
I'm shocked by how inexpensive IUI is for some of you. We were quoted just over $2000 (can't remember the exact number) for IUI with Clomid and just over $3000 for IUI with injectibles. Luckily, we do have *some* coverage--our insurance covers 50% of IUI treatment, but still, it seems like a huge difference from the costs that some of you have posted. :confused:
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