Friday, November 19, 2010

Got the call

FSH level is at a 9
We have a chance, another round of Clomid and the fight with the insurance company to cover everything. I'm starting to think injections are going to be our best bet but insurance won't cover.

I found this:
1991 Ohio Rev. Code Ann. Section 1751.01(A)(7)
* Requires HMOs to cover “basic health care services” including infertility services, when they are medically necessary
* Diagnostic and exploratory procedures are covered, including surgical procedures to correct the medically diagnosed disease or condition of the reproductive organs including, but not limited to: endometriosis; collapsed/clogged fallopian tubes; testicular failure
* IVF, GIFT and ZIFT may be covered, but are not required by the law

* Employers who self-insure are exempt from the requirements of the law

Just gotta find out if hubby's company is self-insured or not to see if we can force them to cover treatments based on this law. Like struggling with infertility isn't enough I now have to fight the insurance.

1 comment:

  1. How wonderful! My FSH was at 10.3 and caused me much anxiety. Yours being at 9 is wonderful...good number :) Yea for the good news!

    As for the injectible med's, talk with your RE and see if they have a pharmacy they contract with to get you discounted rates. We had to pay out of pocket for portions of our treatments. However, I would not let insurance stand in my way of this journey if I were you. You can find the injectibles at reasonable prices...and if doing IUI or a natural cycle with injectibles the cost should be much less than if doing an IVF cycle.

    Sending so many prayers your way. Don't let haggeling with an insurance company hold you back or diminish your dreams :) I know when paying out of pocket it can become expensive, voice of experience, but we are going to pray that GOD will provide :)

    Many HUGS and so happy for the good news!