Sunday, July 5, 2009

Confused, but elated

i'm a bit dumbfounded.

I just went online to look at some of my Explanation of Benefits for my insurance and I noticed that the visit to see the RE for the consultation in June was processed. I have had multiple conversations with my insurance giving them multiple diagnosis and procedure codes and always they say that they will not cover ANYTHING having to do with infertility or recurrent pregnancy loss. Nada, zip, zilch.

They paid nearly 2/3 of our $300 consult visit. I am speechless but skeptical. I will keep watching to see what happens. I haven't seen the actual EOB yet, just the summary. I don't fully understand how they paid what they paid, it doesn't seem to match the rate that they normally pay for preferred or non-preferred providers. But they paid!

My mind is spinning- does this mean that some of our future visits will be covered. We were prepared to pay for all expenses related to the iui's all out of pocket, so even a tiny break would be fabulous.

i am confused, but elated.


  1. Because recurrent pregnancy loss can sometimes indicate an illness or disease some doctors offices get a little creative with the billing. Then its not for treatment of infertility but rather testing or treatment for an ailment.

    In any event I hope they keep it up!

  2. Yay! I hope they keep it up. Gosh, wouldn't it be great if infertility coverage were mandated. One can hope! :-)

  3. Awesome. I hope they keep paying!

  4. That's a wonderful surprise. Deal with insurance is a nightmare. Glad to see it worked out in your favor.

    If you are interested in following my blog, I'm going private. I need your email to send you an invite.