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Infertility Support and Discussion
Reply to "Question for those who bought insurance on the MD exchange for IVF"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I plan to also get MD Carefirst next year. I am so confused of which one to get. Any recommendation? [/quote] I had the Healthyblue HMO Gold this year. But from what I understand, there's also a silver $1000 deductible? I don't know about that plan (it wasn't offered for 2019), I had no issues with the $1750 plan. I'd just super double check the fine print on the silver plan, as somethings may not be covered as much as you'd like. As for HMO vs PPO, I did HMO because all my doctors and hospitals were in network so there was no reason for me to pay the extra for PPO. You can check this on the Carefirst website If you're curious how much things cost with this plan, at Shady Grove, I ended up paying $30 copay to see the RE, $65 imaging copay for every monitoring visit, $300 surgical copay for the HSG, and then totally random small amounts for the egg retrieval and transfer. If I went in only for bloodwork, I just owed $15 lab copay. My total SGF bill was around $2400 for all those Copays and retrieval/transfer charges plus an additional $1800 for embryo freezing. Drugs were very cheap. I only paid $385 in Copays for what was needed for one cycle. [/quote] Can you please tell me the drug costs. I am a bit worried about that.[/quote] Definitely check out the fine print on the drug coverage for each plan. For my gold plan this year, I believe it says that medications were 100% (except for Copays) after reaching a separate $150 drug deductible. I know if you looked at the other 2019 plans, they did not have a separate drug deductible, so you would've had to have paid quite a bit OOP before getting coverage. As for the copays, I think they were $200 for menopur, Follistim had $0 copay, $100 for lupron, and $35 for crinone. I don't remember everything exactly, but I know it was only $385 total. Maybe some of that could've been the $150 drug deductible. [/quote]
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