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Working the system!

This is a discussion on Working the system! within the TTC - Cycle Buddies forums, part of the Trying to Conceive - People Like You category; I got this idea last weekend, but I have been so busy traveling and with work that I never got ...

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  #1 (permalink)  
Old 05-19-2008, 06:00 PM
Leese's Avatar
SKSuperstar
 
Join Date: May 2005
Location: Ohio
Posts: 995
Default Working the system!

I got this idea last weekend, but I have been so busy traveling and with work that I never got a chance to call my insurance and see if it would work. My doc wants me to get 3 vials of 450IU gonal-f. The cash price for that is $1075, and my insurance has a negotiated price of $1600 (I always thought insurance was a lower price, not higher!). I have 50% coverage for the meds. So I called my insurance and asked if I was willing to pay the cash price up front, then could I file a claim for 50% reimbursement of the cash price. They said yes! So we will be able to do 3 cycles for what I expected to pay for 2!

I'm going to start provera this Thursday, and I should be getting AF the week of 6/9-6/13. 6/13/08 is my 5th wedding anniversary. My EDD for this next cycle is mid March. DH said if we have a St. Patrick's day baby we have to name it Seamus Patrick. Sounds good to me!

My claims from the RE's office are still being processed incorrectly. I have someone from HR working on it now, she's got a direct line to someone high up in my insurance company. Supposedly I should hear from an analyst by the end of the week about exactly what is being covered and at how much.
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Lisa

Me -29 DH - 32
Married June 13, 2003
Completely anovulatory without meds
10/07 - 12/07 50mg Clomid,
12/07 - DH's SA all normal!
2/21/08 - RE consult
3/08 100mg clomid cd3-7, no follicles, cycle cancelled
4/08 - 150mg clomid cd3-7, u/s on cd14, 1 follicle @ 24mm, trigger shot on cd14 and timed bd,
5/08 - HSG looks good
6/08 - gonal-f (75iu PM starting cd3), HCG, and IUI. cd7 u/s - 2 follies @10 each


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Old 05-19-2008, 06:07 PM
SKLoyal
 
Join Date: Jan 2008
Location: Tempe, AZ
Posts: 2,022
Default Re: Working the system!

Lisa - Way to work the system. You go girl!!!

A St. Patrick's Day baby would be awesome. Wishing lot's of
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Started TTC December 07 - Present = 's
Patiently waiting on our first miracle
TTC over 6 Months




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Old 05-19-2008, 06:17 PM
SKMagnificent
 
Join Date: Dec 2007
Posts: 1,231
Default Re: Working the system!

Good luck!!!!!! That's so exciting - 3 for the price of 2!!! Good for you!!!
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Old 05-19-2008, 06:52 PM
SKDevotee
 
Join Date: Apr 2008
Posts: 406
Blog Entries: 1
Default Re: Working the system!

YAY!!
3 for 2 is always a great deal!
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Our TTC Journey So Far.....
October 13, 2007- Married!
Nov 07- July 08 (8months) ~ and No O
5 cycles Clomid (No O)
July '08 ~ Taking a BREAK while we're waiting for DH's specialist appt.

S/A Results ~ Less than 1 million sperm



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Old 05-19-2008, 06:54 PM
Tkeys's Avatar
Host
 
Join Date: Jul 2007
Posts: 5,774
Default Re: Working the system!

Great idea!! I'm so sorry that you are still having issues with the claims - it took us 6 mos to get it all worked out.
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Old 05-20-2008, 11:09 AM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Working the system!

Congrats Lisa. I hope it all goes well and ends in a BFP! =)
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Old 05-20-2008, 05:44 PM
SKFanatic
 
Join Date: Feb 2008
Posts: 860
Default Re: Working the system!

Great work researching on your own behalf Lisa!! No one looks our for you, like you!! I'll be praying you only need 1 month of meds b/c you see your this cycle
__________________
April 2008 - bring on that anniversary magic!!!!
I want to be an "expecting" mom on Mother's Day 2008!!
on Mother's Day - 05/11/08

March 2008 - BFN
February 2008 - BFN
January 2008 - End BCP





1st Beta at 11dpo = 76
2nd Beta at 13dpo = 286
3rd Beta at 28dpo = 65,853
05/27/08 - 1st u/s - 1 sac/flickering
06/05/08 - 2nd u/s - heard the
EDD = 01.17.09

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