Forum: Trying to Conceive after Loss
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Platinum Supermommy
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Join Date: Jan 2007
Location: Rochester, NY
Posts: 15,518
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They denied my request for IUI with injectables.
They said I didn't meet the criteria for INFERTILITY. They said according to them that infertility is not being able to get pregnant for 12 months. Seeing as I have had three losses in a year and a half they consider me fertile....
WTH?????????????
Okay I may be fertile by their terms.... but show me the baby. My arms and heart and still empty.
I just want to cry and scream at the same time.
I am trying to work something out with my doctor to still have a reasonable plan for this cycle while I dispute it with them. I may just have to pay for it myself. I %$#@@%^&^*(( hate insurance companies.
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Bobbie mom to : Jeremy (21) Amanda (17) Matthew (3) and Daniel (20 months) step-mom to: Stephany(21) and Krista (18)
step-grandma to: Wesley (23 months)
On 1/31 at exactly 16 weeks pregnant Noah came too soon. He was our 7th loss  If you would like to see pictures of my sweet (but tiny) boy they can be viewed at www.caringbridge.org/visit/noahdarrohn they aren't the easiest pitures to look at but I am willing to share them with anyone who would like to see them <3
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Mega Super Mommy
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Join Date: Jan 2007
Location: Ohio
Posts: 3,593
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 Bobbie
Insurance companies stink and there is no 2 ways about it. They will avoid paying anything and everything they can...
I really hope you can get it resolved quickly!
__________________
Melanie (&Thad)
Proud Parents to: Branden 10/28/1997 Owen 5/17/09 (Born with Hirschsprung's Disease) And expecting our newest addition 5/7/12 
 
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Mega Super Mommy
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Join Date: Apr 2006
Posts: 2,058
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aww Bobbie l'm sorry and l hope you work things out soon
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Mega Super Mommy
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Join Date: Aug 2007
Location: Canada
Posts: 2,848
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Bobbie!! I hope it will all work out for you. I know you'll be holding your precious baby soon.
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Mega Super Mommy
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Join Date: Feb 2008
Location: Connecticut
Posts: 2,514
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That seriously sucks... I am so sorry hun!
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Super Mommy
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Join Date: Mar 2008
Location: Austin, TX
Posts: 834
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I'm sorry! I hope you're able to work something out with your dr.
I'm sorry! I hope you're able to work something out with your dr.
__________________
Nicole
Me: 33
DH: 32
TTC 3/07
m/c - 7/29/07 (5w4d)
m/c - 10/8/07 (6w4d)
m/c - 2/27/08 (11w5d)
m/c - 6/20/08 (7w2d)
9/08 - IVF w/ PGD: Cycle cancelled, not enough mature follies
10/08 - IVF w/ PGD: Cycle cancelled, ovulated on my own
12/08 - IVF w/ PGD: BFP!
Owen Royce...born August 28, 2009
1/10 IVF w/ PGD: 1 egg fertilized, so no PGD
1/30/10 Transferred in one embryo
2/13/10 - BFP!
Georgia Elle...born October 15, 2010
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Platinum Supermommy
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Join Date: Sep 2006
Posts: 10,854
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Oh that totally sucks.  They can bite me.
Like you said if you're so fertile, where is the baby? They just don't want to pay up.
I hate insurance companys, ours doesn't pay for ANYTHING that's fertility related so anything we do, we'll have to pay for out of pocket.
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Platinum Supermommy
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Join Date: Sep 2006
Location: Illinois ( originally From New Jersey:)
Posts: 13,040
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that has got to be the biggest crock ever !
Bobbie I really hope you can work something out with your dr. so you can move ahead with the IVF
~Big Hugs to you sweetie!~
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Mega Super Mommy
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Join Date: Sep 2005
Location: Colorado
Posts: 4,478
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That just plain sucks. I swear I don't understand the purpose of insurance if everything gets denied. I want to  for you. And at the same time I want to scream. You are having infertility.
Infertility - The inability of a couple to achieve a pregnancy after one year of unprotected sexual intercourse, or the inability of the woman to carry a pregnancy to live birth. Primary infertility indicates that the patient has never achieved a pregnancy, whereas secondary infertility denotes that a previous pregnancy was achieved, regardless of outcome.
found the definition here... http://www.ivf.org/glossary.html
I really, really hope you and the doc can work out a plan.
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Platinum Supermommy
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Join Date: Dec 2004
Location: Oklahoma City
Posts: 5,660
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Bobbie, I am serious about this.. you need to start digging up articles and research. It took me and our doctors 3 tries to get our insurance to agree to genetic testing for the baby I miscarried- even when I carry a KNOWN genetic mutation and the same mutation has been identified in Mason who has hemophilia and my brother, who lost his life with hemophilia. They kept saying the test was only "EXPERIMENTAL".. which was a flat out lie. Finally, we had to say- this is really sad- that we would consider aborting our baby if we found out he had hemophilia. That is the only way they would agree to pay for it. Ironically enough, after fighting the insurance tooth and nail and finally winning, the day we went in for testing is when I found out the baby had died. But my point is, I found a ton of research online to support that the testing was NOT experimental. It finally worked on the 3rd try. It's worth a shot for you too!
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Mega Super Mommy
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Join Date: Feb 2008
Posts: 3,594
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Oh what a crock of B-S!! I'm pretty sure insurance companies have officially taken the WORST PEOPLE EVER title from lawyers....
I'll be praying for you Bobbi...I really hope your doc can work something out for you...
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Platinum Supermommy
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Join Date: Sep 2007
Location: Virginia
Posts: 5,129
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Errr insurance companies can be such a pain! I hope you get it worked out
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Mega Super Mommy
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Join Date: Feb 2008
Location: Bremerton, Wa
Posts: 4,400
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OMG Bobbie im so sorry. You totally have to fight this though!!! I know if anyone can do it you can. Tell them to go ##### themselves that dammit, youre gonna have your baby!
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formerly mommy2haley17
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Join Date: Aug 2007
Location: TX
Posts: 8,212
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That sucks Bobbie! I hope you can get it worked out with the dr and insurance company. They are so ignorant. I would send the definition that Danica found to the ins company.
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Platinum Supermommy
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Join Date: Nov 2007
Location: California
Posts: 7,567
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that SUCKS!!!!!
I am so sorry, I hope something gets worked out!! They should be paying for this, it is needed!!!
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Super Mommy
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Join Date: Feb 2008
Location: Southern california
Posts: 601
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I agree with Amber. You need to resubmit your request. There is this weird thing about insurance companies denying claims the first 2 times they are submitted. Third time is a charm. Plus, I don't know how old you are, but if you are 35 or older, the time frame is 6 mo's, not one year. Send them the definiton and ask for their data to support the reasons for denial!
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Hippy Mom Extraordinaire
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Join Date: Nov 2007
Location: Tulare, CA
Posts: 13,484
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Oh no i'm sorry girl they are being stupid! I hope that you get something figured out so you can start the process for getting a healthy baby
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Mega Super Mommy
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Join Date: Oct 2006
Posts: 2,632
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Oh Bobbie I am so sorry that the insurance company is being an *****! I hope that with your dr's help you will be able to get this all worked out soon!
__________________
 Thank you Mistyx5 for my siggy.
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