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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I have Kaiser and asked for referral to SG. My ob/gym asked to do some infectious disease blood work, which I did, and now have a $500 bill which is about 50% of the actual bill. question: since I do not have a referral yet, I am just asking for referral to be placed, should they be charging the 50% copay? Has this happened to anyone? [/quote]

Once you've done all of Kaiser's fertility work-up (the bloodwork, HSG, saline ultrasound), they will put the referral through to SG. And yes, anything that has to do with infertility (at KP) is billed to you at 50% of the actual cost (at least with my plan). All of these OOP costs counted towards my $3,500 OOP yearly deductible. [/quote]

I also found that any tests done related to infertility testing, including infectious disease testing, was charged to us at the 50% rate, although we only paid maybe $200 total for all of the infertility bloodwork prior to the referral to SG.  Consistent with our evidence of coverage, this payment did not count towards our out of pocket maximum. [/quote]

Did you only pay $2500 copay after that? or, did you incur more costs?  I know freezing and storage is not covered, but now about monitoring appointments is there a separate charge for that? [/quote]

I was very lucky as I never did IVF (2nd IUI was successful). SG did give me a rate sheet for Kaiser that includes IUI and IVF.  Basically it says if we did IVF we'd need to pay a $2,750 deposit that I understood to include the Lupron evaluation (no idea what that means) monitoring, retrieval and transfer as well as 5 monitoring appointments.  It lists additional costs for ICSI, assisted hatching, freezing and storage and PGD.  I believe PGS would also be an additional cost if we used that.  And obviously medications are not included.[/quote]

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