Very annoyed!! vent

iVillage Member
Registered: 09-15-2004
Very annoyed!! vent
4
Wed, 02-09-2005 - 1:41pm
My RE's (repro endocringologist) office just called. My nasty insurance is putting my surgery into the infertility category (even though it has NOTHING to do with infertility) and wants to pay it at 50%. The hosp bill alone would be $8000.00! I can't go through with fertility treatments until I get diagnostics in case I have cancer or something. My grandmother had uterine cancer. I am high risk since I went 12 years with no cycles at all. So I guess according to them, I can go ahead and die of it if I have it, because I went to the RE first! So now I am at a stopping point on getting pregnant, because I can't do IVF or IUI without the lap and D and C, and I can't afford to pay 50% of getting them. Not sure what to do now. Ridiculous! Insurance companies make me sooo mad!!! And I have worked for them for years!
Thanks for letting me vent!
Jodie

Jodie

Avatar for kdvaleski
iVillage Member
Registered: 04-10-2004
Wed, 02-09-2005 - 2:06pm

Hi Jodie...ooohh, am I sorry to hear all that! Insurance companies just get my knickers in a twist too, and I have worked in medicine for 15 years. They're horrible. Can you go back to your regular gyn to have the surgery done? Since it has nothing to do with your infertility, your normal doc should be able to do whatever it is you need done, the results would be the same and your RE could have all that info available when you go to begin your treatments. Otherwise, your doc would have to appeal the decision and provide the documentation to support the fact that it's not related to your infertility.

What did your RE have to say about the insurance decision?

Hang in there!
Kristen

iVillage Member
Registered: 09-15-2004
Wed, 02-09-2005 - 2:40pm
Hi!
He is on vacation this week. OF course! The waiting will kill me. I am more concerned about getting pregnant than I am about cancer. But if I do have it, then they should allow my OBGYN to do it, but he acted like the ins would deny that as well. That's totally illogical. I will just have to wait until Monday to find out. Which is driving me nuts. I am now manic, which is sort of good since I've doubled my monthly goal in the last 2 days. Last month I was depressed and didn't find half! Gotta take the good with the bad I suppose!
Thanks!
Jodie

Jodie

iVillage Member
Registered: 12-20-2004
Wed, 02-09-2005 - 4:09pm

Jodie,

Hi! I thought my insurance company was the worst! Yours is worse hands down! I know the waiting must be horrible for you. If they won't let your ob/gyn do it, PROTEST it! This is just not fair.

Keep us posted.

Love,

Jamie

Love,

iVillage Member
Registered: 09-01-2004
Wed, 02-09-2005 - 6:02pm

Jodie,


Arguing with insurance companies has become the bane of my existence, so I can feel for you!


Coming from your RE your tests probably got lumped into the infertility without a second look--you could probably get them to finally pay it (but probably at a much lesser rate than your RE wants to charge or accept).