When are things ever easy!

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When are things ever easy!

So the RE just called and the SA is actually worse! Sad She said the ONLY option is IVF BUT BUT BUT BUT BUT it looks like the insurance will not cover it unless other less expensive ways have been used first (IUI). She told me that IUI will be pretty much a waste of my time. She is hoping if they can fax the insurance the information and prove this to them it can be made an exception. I have very little hope. I really really hate to think that I will have to do IUI for nothing just so I can have the IVF! This is ridiculous!!!! I'm so flippin mad right now!

In other news.... I have high testosterone as well as a slight hormonal imbalance. I have to start the metformin tonight to regulate my levels. TSH levels were 2.3 so that's good!

SO, what do u girls think? Do you think the insurance will budge??? I would hate to have to do an IUI for nothing that's too much stress! I mean my DH's SA is that low, but she said that insurances don't see it that way. AHHHH!!!

Aggiegirl06's picture
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Ugh, so frustrating! I'm so sorry, Marisol. I have no experience with Metaformin but I know it works for a lot of ladies and has minimal side effects...trying to see the positive here.

Okay, what else:
- IUI will help you *ease* into IVF...I hear it can be quite the ordeal
- you will be monitored with both IUI and IVF so you can see what's going on with your ovaries and follicles
- an IUI cycle is short so if insurance MAKES you go through one cycle, it won't take too long and will distract you while you are waiting for IVF to start
- no surgery with IUI
- this may sound crazy, but IT COULD WORK!

My feeble attempt at seeing the bright side of things. I'm so sorry insurance is being aggravating and drawing things out unnecessarily. I hope this is all resolved soon for you.

Now go have a margarita Dirol

dreamchaser's picture
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WHAT!!!!???!!! That is ridiculous!! It's my understanding that there are limitations to doing IUI with male factor and if you don't meet that criteria AND your RE is recommending IVF (are you doing ICSI due to his low counts?), then insurance has to cover it! I hate so much that infertility isn't treated equal to any other health condition when it comes to coverage whether it be insurance in the USA or our health system here in Canada!! I can think of a million other conditions that an insurance company would never dream of telling the DR what they should be doing!! Wishing you all the best!! Please keep us posted. And a margarita sounds good!! Biggrin

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Well I just got off the phone with the drs office and she told me she will try her best and technically if its medically necessary as in our case it shouldn't be a problem. she will call me back as soon as she hears from them. In the meantime they still signed my up for IVF class, they are treating it as if I'm still going to get it done so I'm a little more hopeful today.