Reply to Any MD residents purchasing exchange insurance plans for IVF?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I looked into Kaiser last month and found that their platinum plan was about $450 a month with a $6000 or so oop max.  I really liked Kaiser when I had them and had one of my kids with them and the care was fantastic and I hardly paid anything.  You can just call them and purchase directly through them.  You'd likely have to use Shady Grove which again I found is fine for relatively straight forward cases.  I wouldn't bother with two insurances.  It's too costly and the whole coordination of benefits thing is a mess.[/quote]

OP here- Thanks for sharing!  I'm just now really starting to look into plans and it looks like a Kaiser plan would be the cheapest total OOP, I'm seeing.   Good to know there wasn't any issues using them.  That's my biggest concern as my husband's insurance has always been very reliable and easy to find doctors that accept it.  Any idea what pre-authorization is needed for fertility treatments?  My husband has a congenital defect in his vas deferens so IVF is our only option.  We've had success previously and I hear great things about Dr. Shim so we'll probably go with Shady Grove.  Do you know how much of the injectables we're covered by the insurance as well?  Thanks!
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I'm the pp who had Kaiser previously. I didn't end up needing Ivf for my second although that's why I went to them. I was super impressed with how accommodating they were. I went there having suffered from unexplained infertility with number 1 where I needed Ivf. I had already done all my testing and went there saying I needed a referral to Sgfc for number 2. They said no problem. My testing that I arrived with showed possible fluid in a tube and so I needed the tube removed. They said no problem. My obgyn just asked if I was 100 percent sure that I wanted the tube removed and if not let's consider doing a repeat hsg. I said sure why not. The repeat hsg showed that my tube was probably open. I said I still wanted it out as probably is not definitely. They said no problem. One week before the surgery I tested positive. Little guy is 2 years old now. All this to say I was blown away by the service I received at Kaiser.

I was just researching plans for a program I am piloting hence the reason I looked up Kaiser recently. Call Their benefits people. They told me once you hit your oop everything is covered including meds. I'd suggest you try and confirm with someone on their end well versed in fertility benefits if possible. [/quote]

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