Reply to Best FEHB for monitoring, drugs, IUI?

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[quote=Anonymous][quote=Anonymous]^ this is all EXTREMELY helpful information - thank you so much for taking the time. They make this impossible to figure out.

I did not catch the $40 copay for monitoring with BCBS Basic. That's actually pretty huge. It sounds like it really might be worth doing that or Kaiser for the phase I'm at right now. FWIW it looks like Kaiser OOP max is now $3500 for standard / $4000 for basic. Are injectables really that much here, that you think it would add up that quickly? Back west I thought trigger shots ran $100-200 a pop. Maybe that was the reduced rate.

My hope is that I can get a couple cycles in by November / open season, so then I'll have a better idea if we'll be doing IVF and can reevaluate the options. (Unfortunately we don't live in MD but thanks for the tip!)[/quote]

By injectables I don't mean just a trigger.  Sometimes when people do IUI or even timed intercourse, you might inject gonadotropins (the same injectables used in IVF) to get multiple follicles.  How much you need to get just a few depends on your ovarian reserve.  If you are DOR, you could require higher doses than if you have good reserve.  These drugs can run in the thousands.  If it would be helpful, maybe tomorrow I can look back over my pharmacy records see what Kaiser charged for one Gonal F pen, for example.  Then you can also call and get an OOP price at a pharmacy like Freedom or SMP or something like that for comparison.

If you've never tried Clomid or Femara/Letrozole, injectables would likely not be your first step, but it might be something you try a few cycles in.  Also, if you are PCOS, you might be a high responder and would require less meds than the average person.[/quote]

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