Reply to Question about IVF coverage under MDIPA

Forum Index » Infertility Support and Discussion

Reply to "Question about IVF coverage under MDIPA"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous]I am a federal employee and am thinking about switching to MDIPA during open season.  The language of the plan says IVF is covered if I have a history of infertility of at least 2 years, and I have been unable to attain a successful pregnancy through a less costly treatment that is covered by the plan.  Under the plan, infertility is defined as the inability to achieve pregnancy after one year of unprotected intercourse.  Here is my situation.  I am able to get a positive pregnancy test, but have a history of chemical pregnancy loss, with one clear miscarriage. Specifically, two years ago, I had a clear miscarriage and a D&C was performed.  Since that D&C two years ago, I have had 1 chemical pregnancy and one presumed ectopic (not seen on ultrasound). For my presumed ectopic, my RE believes it may have been a chemical pregnancy with fluctuating HCG values, but which warranted Methotrexate just in case. I know the aetna plan defines infertility more strictly, as the inability to conceive.  As you can see, I have no problem conceiving.  After a battery of tests, my RE believes IVF may be the only option left to assure no more pregnancy loss.

Do folks around here know if MDIPA would probably cover IVF treatment based on my history?  Would they be difficult about it (ie deny and require appeals, etc)?

Secondly, do you think they would require me to undergo the less costly procedures first?  Do I have to do IUI, etc before IVF, even if my RE says that won't make a difference for miscarriage/pregnancy loss purposes?

Any advice you all can provide would be greatly appreciated.  Thanks. [/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics