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Infertility Support and Discussion
Reply to "Fed Employees: IVF Insurance Questions"
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[quote=Anonymous][quote=Anonymous]Right, no more IVF under federal insurance. Kaiser may still cover IUI, and there was a BCBS HMO that covered IUI but not sure of the current status. For cost savings, I feel like the best bet is BCBS Basic. Even in an IVF cycle, the copay for monitoring is $40. This is huge savings when those visits can be hundreds per time and you have 5+ visits per cycle. They also do cover fertility medications, including injectables, if you are doing a timed intercourse cycle. So there's some potential to do a couple of TI cycles and maybe get your nurse to order extra meds. If you save what's left from those, you may not have enough for a whole cycle, but that can still be serious savings.[/quote] The Carefirst BlueChoice HMO plans (High Option Open Access and Standard HealthyBlue) cover up to 6 IUIs. I switched the HMO plan for 2018 to get the IUI coverage. Upon doing a cost analysis of the differences in the plans, I decided the Standard HealthyBlue made more sense for us financially. It's turned out to be a Cadillac health plan compared to the BCBS basic in some respects--$0 copay any time you see your PCP, no cost for any lab testing as long as it's done through Labcorp, and $0 copay for all prescription drugs. And even though it's an HMO (restricting your geographic limits of use for in-network care; although BCBS Basic doesn't even have an out-of-network option...), it's all open access, meaning you don't need referrals from your PCP to go see a specialist. For a federal employee planning to do IUI, I would recommend this plan. However, as PP said, the BCBS Basic may make just as much or more sense for someone doing IVF.[/quote]
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