What a racket!!!!

iVillage Member
Registered: 01-23-2006
What a racket!!!!
6
Thu, 02-04-2010 - 4:54pm

Now I will be the first to say that I think it is wonderful that my insurance covers IF.


That being said our benefits have a cap (1 for treatments & 1 for drugs). The issue I have is that the insurance only lets us order fertility meds thru 1 pharmacy. Today I found out that this pharmacy charges alot more for their drugs.


After this round of meds we will be at our cap. The rep I spoke to advised me of this & said that when people have to pay out of pocket they recommend another pharmacy (by name). I asked why & she said that the gonal F (FSH) pen is around $300+ cheaper at the other pharmacy.


Drug companies & insurance companies = the modern day Bonnie & Clyde, ugghh!!


 

Pregnancy%20ticker
iVillage Member
Registered: 04-05-2009
In reply to: naznh
Thu, 02-04-2010 - 5:01pm

My insurance will only cover my "specialty" meds if I order from "their" pharmacy...with my deductibles and copay (which they put on EACH med ordered) I spend less by just paying for it out of pocket from one of the discount specialty pharmacies.


You're right though, its a racket.

Photobucket

Faith (35) Matt (40)

iVillage Member
Registered: 02-11-2008
In reply to: naznh
Thu, 02-04-2010 - 5:51pm

That really stinks Nat.

Isabel
Mom to Sebastian Robert after 3+ years of infertility

iVillage Member
Registered: 10-31-2008
In reply to: naznh
Fri, 02-05-2010 - 9:08am
Ugh Nat, I totally agree.

~Christine~


TTC since 6/2007. 
IVF #1 Jan 2009 - BFN
IVF# 2  April 2009 - BFN
IVF# 3 July

iVillage Member
Registered: 01-23-2006
In reply to: naznh
Fri, 02-05-2010 - 9:34am

Faith ,


The fact that you have to buy something out of pocket for it to be cheaper than using your own insurance is just ridiculous!!


How they sleep at night I will never know!


Nat

Pregnancy%20ticker
iVillage Member
Registered: 01-23-2006
In reply to: naznh
Fri, 02-05-2010 - 9:39am

Izzy,


Don't you just love it when the pull the "we just realized" card? When I ordered my meds last week the rep never said that the microdose lupron was not covered but when I called yesterday I got the "we just realized" speech too...Ahhh!!


Oh well I won't have to worry about dealing with them if there is a next time. Since we are at our cap going forward will have to pay out of pocket & there is no way I would use them since they are ridiculously over priced.


Hope you are doing well:)


Nat

Pregnancy%20ticker
iVillage Member
Registered: 01-23-2006
In reply to: naznh
Fri, 02-05-2010 - 9:44am

Christine,


I completely agree with you it is just unconscionable the amount of money they make off of people like you & me.


There are so many

Pregnancy%20ticker