Hysterosalpingogram, clomid, and insurance?

iVillage Member
Registered: 12-03-2007
Hysterosalpingogram, clomid, and insurance?
Fri, 07-22-2011 - 1:09pm

Does anyone know what I should expect? I have an appointment scheduled for an Hysterosalpingogram, and a prescription for clomid sent to my pharmacy... my doctor didn't seem to have a clue what this would all cost. I'm on public aid (il) - and please don't go bashing me here (not that I think you all would). I've called the hospital's billing office and hope they'll call me back about it.... but all I can find online about it is that it will cover things like BCP and getting your tubes tied.... really great.

Community Leader
Registered: 06-01-2004
Sat, 07-23-2011 - 2:07am
Hi - I didn't want you to feel ignored by not answering, but I really have no clue - our system in Canada is so different. All of our tests were covered by our MSP (government plan) until we finally went the 'private' route of the fertility clinic - even then blood tests etc. are covered. I did have to pay for clomid but can't remember how much it cost. I would be willing to bet that certain tests would be covered for you if your doctor writes for different reasons then fertility. Your system in the US baffles me - no offense everyone! - but really for all the problems or concerns people seem to have with the Canadian system - ours just seems to work in a much easier people friendly way. It makes me crazy to see that insurance can cause such problems for good hard working people that need some medical help or tests.
I hope you get what you need and it is covered :)
Hugs, Jasmine
iVillage Member
Registered: 03-03-2011
Sat, 07-23-2011 - 8:36am
My fertility drugs weren't covered at all by my plan and I found that really odd! Birth control pills are covered but not progesterone. So funny, huh? Emedoodle, your doc could definately save you a bit of money with creative wording.

I had to swtich from Prometrium to Endometrin because it caused me to have the world's worst yeast infection (sorry, tmi, I know) but before he did we talked about how expensive the Endometrin was. He didn't want to prescribe it to me because of its cost. I told him to do it, and we'd figure it out but it was nice to hear him care about our finances!!! Good luck, and I hope you can get as much covered as possible!!
iVillage Member
Registered: 08-18-2005
Sat, 07-23-2011 - 8:19pm

I am not sure if the HSG would be covered.

*Sari, loving Momma to Kai Lilypie 6th to 18th Ticker

iVillage Member
Registered: 12-05-2000
Sun, 07-24-2011 - 8:45am


My insurance doesn't cover anything infertility related either, so when we started talking about other options, I called every pharmacy in my state to find who had the cheapest progesterone supplements and clomid, and talked to my doctor about the cost of u/s, etc.

Lilypie Third Birthday tickers
iVillage Member
Registered: 12-03-2007
Tue, 07-26-2011 - 1:04am

Thanks guys! I did talk to the billing lady at the hospital and she seemed to say that if my doctor put in the order for the test then it would be covered... but I don't think that's necesarily true. At this point we're going to cross our fingers and hope. If we get the bill we'll protest it a little, then start up a payment plan. It may take us a while.... but we'll do get it paid off. We're not considering doing anything else other than clomid (no IVF or anything super expensive).

I picked up the prescription for clomid today, it wasn't covered, but the pharmacist said that a lot of drugs were recently switched to not covered. It was only $23 so that's alright. Expensive for five little pills, but still.

I start the Clomid tomorrow! Eeek! I hope this all works. I have 100 opks ... think that'll be enough this cycle? Oh and the sky is parting... my 11 yr old neice won't be here when I ovulate (assuming I ovulate, and assuming the clomid works as scheduled). That would have been awkward. :)