Reply to Aetna & IVF Meds

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[quote=Anonymous]Ooohh--I could tell you a doozy of a story when it comes to finding out what Aetna charges for ivf meds.  I made many phone calls to that da**ed pharmacy and still couldn't find out the prices of the meds.  At one point I was directed to aetna pharmacy management (800-238-6279) and spoke with a really nice person who gave me pricing information that was entirely wrong.  But, one thing I did learn from our conversation is that ivf injectable meds are covered under the medical benefit which covers 50% of the cost.  All other meds (oral meds/vaginal inserts) are covered under the normal pharmacy benefit (not sure what that coverage is, I think $3 copays for generic, formulary meds, $10 for generic nonformulary, etc.).  BTW, this is for the federal aetna hmo plan.  When I finally did get authorization for the meds and the pharmacy got with it, I received my meds the day before I was to start the injectables--so pp, I understand your stress--it was a horrible waiting game.  With pricing--last time we did ivf we didn't have insurance coverage and spent a little over 4k on meds.  This cycle w/ the 50%aetna coverage we spent a bit over 2K so it did turn out to be half of what we paid when we didn't have insurance.  Lastly, I don't think aetna wants us to know the prices of the meds--when they finally did send them out, I had to ask for the total cost (they took my credit card # over the phone but didn't know what my cost was--they had to call me back so they could find out!!) and if that total is itemized on the receipt --the rep said the don't show individual totals of the meds.  At that point I was just so relieved that my meds were finally being sent out that I chose not to pursue it.  Keep calling aetna back pp and make sure they know when you need to start taking meds.  Ask if they could expedite your authorization.  Good luck![/quote]

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