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Infertility Support and Discussion
Reply to "BCBS infertility coverage for feds"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Update on meds cost - my total copay for all my meds was $260 ($65 copay for four different meds) vs paying about $6k for these drugs out of pocket for one cycle. Yes, this plan is a no brainer on meds alone.[/quote] Are the medicine expenses counted towards the $25,000 total infertility coverage? CVS specialy charges four times of the regular price at other pharmacies. Shouldn't we buy the drugs out of network and only use $25,000 toward IVF procedures, if expecting mutiple rounds of IVF?[/quote] Read the policy - no they aren't. You get coverage for three rounds of meds per year in addition to $25k for ARTS per year. These are two separate pots - the $25k is towards the ARTs procedures covered alone. If you think $260 in copays for 48 vials of menopur, 4 900 unit pens of follistim, 7 cetrotide pens and a trigger shot is a lot I don't know what to say about your realistic expectations of infertility med costs. The CVS specialty is a $65 copay per med for a 90 day supply so your RE would order the max of what they think you need. Re-read the site: Members diagnosed with infertility can receive up to three (3) annual drug cycles for in vitro fertilization (IVF). You must receive prior approval and buy your prescriptions through our pharmacy programs. Standard Option members diagnosed with infertility can get any assisted reproductive technology (ART) procedure (not listed as an exclusion in the brochure). We will cover up to $25,000 annually once you receive prior approval. https://www.fepblue.org/open-season/whats-new-2024 [/quote] sounds very good. did you or anybody call the customer services to confirm that infertility drugs are not counted towards the $25,000 annual costs? Thanks[/quote]
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