Reply to insurance for IVF for diagnosed infertility

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[quote=Anonymous][quote=Anonymous]You actually may not be eligible for MDIPA because it is a regional plan, local to the DC area.  You will have to check with your agency.  I wasn't covered to go up to Cornell under MDIPA.

MDIPA is an HMO, which means you need a primary care doctor to get referrals for everything.  It is a PITA.

A[b]lso, the billing/reimbursement sucks.[/b]  For example, the brochure states very clearly that they cover an annual mammogram over 40.  I got the referral from my OB/Gyn and had my mammogram done.  I'm now getting a bill from the radiologist b/c MDIPA hasn't paid due to lack of information or some such BS.

Aetna may be your only choice for IVF coverage.

Someone else correct me if I'm wrong.[/quote]

We've had MDIPA for 8 years and have NEVER had problems with billing.  And we've billed some major, major things.  3 IVF cycles, 2 pregnancies, 10+ ER visits (including a complex one following a car accident), extensive dental surgery, many visits to specialists, countless peds visits, all sorts of expensive medications and they've never once messed up.  You just HAVE to keep within the provider network for PCPs and specialists.  All ERs take it, all academic medical centers and doctors take it.

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