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Infertility Support and Discussion
Reply to "Federal Health Plans & IVF coverage"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]PP here. I know shady grove and many other RE define trying as having unprotected sex. This doesn't mean temping, or using opk, or checking fertile mucus or keeping record of charts. So, if they ask (and no one ever asked me to prove it) they usually just ask how long have you been trying. [/quote] Okay, thanks for the info. I also read a certain requirement for IVF in the Blue Choice 3500 HMO plan that "The Member has been unable to attain a successful pregnancy through less costly infertility treatment for which coverage is available under this Agreement;" and I take this to mean that we have to try IUI cycles first since the plan also seems to cover IUI treatments. We've already been doing IUI cycles because the Federal Aetna plan mandated that we had to do 6 IUIs before they approve an IVF cycle and we made it to our 4th cycle when we realized that they were dropping coverage next year. Does anyone have this plan currently? Do you know if you can go straight to an IVF cycle, or do you have to try IUIs first and if so, how many before they'll let you try an IVF?[/quote] Same poster again lol. My coworker is not a candidate for IUI at all, and she is not having any problems getting the ivf covered without "less costly treatments." But, she has a documented workup from her doctor. Hopefully, they don't make you waste time and money having unnecessary medical procedures if you aren't a candidate for them. [/quote]
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