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Infertility Support and Discussion
Reply to "Federal Health Plans & IVF coverage"
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[quote=Anonymous]I'm a long time reader and first time poster. :) I'm at SGF and considering moving to Aetna as my 2017 plan. Since, other posters say SGF will honor previously negotiated Aetna rates for IVF, which would save my husband and I a few thousand on a cycle. Two questions for you guys, any feedback is appreciated. Will SGF honor Aetna pricing if you didn't have the plan before? In my case, I currently have Kaiser and have been using that coverage at SGF. I'm a little worried they won't give me the same billing rate as patients that came to the practice as Aetna. Which of the Aetna plans are you guys considering? My husband and I are healthy and have no kids (hence the IVF) So, I was considering the Aetna Open Access (Basic) plan. But, the overall satisfaction with the plan is one of the lowest and rated as "fair". Some additional googling uncovered lots of people saying they routinely have their claims denied and it's a long process to "prove" that your medication or procedure is needed with any of the plans. And this isn't just for infertility services. But for everything. Sorry for the long post but does anyone have experience with any of the Aetna plans or a story to tell of someone they know with an Aetna plan? [u] I'm considering: [/u]Aetna Direct (CDHP) rated "Good", $121.52 biweekly premium Aetna HealthFund CDHP and Value Plan (CDHP) rated "Good", $271.25 biweekly premium Aetna HealthFund CDHP and Value Plan (Value) rated "Good", $144.89 biweekly premium Aetna Open Access (Basic) rated "Fair", $158.54 biweekly premium[/quote]
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