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I'm trying to find online anywhere that shows whether my insurance (Mainecare/Medicare) covers Mirena, and I can't seem to find anything... I had my post-baby appt Monday, and scheduled an appt to have it put in, but didn't even think about insurance until now! Does anyone know if the info would be online somewhere? I tried googling, but didn't come up with much.
Many insurances do not. Call your dr's office and they should be able to tell you. If you've already made the appt for insertion they've probably already submitted the request for pre-approval.
I have Blue Shield of CA HMO and they wouldn't cover it. I sent a very polite letter to my insurance company telling them that I really questioned their business practices because if I fell pregnant, they would cover 100% of my delivery & well-baby costs as well as all of my prenatal appts which would run them well over $30k but they wouldn't pay $600 to prevent that from happening. Seemed like flawed logic to me. I explained to them that I was nursing and couldn't take the combo pill, I'm allergic to spermicide, and had a bad reaction last time I took the minipill and the IUD (non-hormonal) was my only option. If they wouldn't cover it, I would probably end up pregnant since I'm a fertile myrtle.
I got another rejection letter from them with info on how to file a grievance. I filed a grievance and got another rejection letter. So I wasn't on bc at all! 3 months went by and I suddenly got a letter in the mail stating that they had overturned their decision and would cover 100% of the IUD costs after all! I think maybe they were thinking I would just get on another bc and was just bluffing and then when they looked at my history and saw that I hadn't gotten on anything, they freaked out and approved it! I was so stoked! It's worth it to try to get them to make an exception.
my insurance company covered my IUD but honestly i didnt care thats what i wanted and seemed like the best option i was expecting to get a bill in the mail for it but whatever my primary insurance didnt cover my secondary did. But yea i would call and they will tell you what they cover and how much of it