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Insurance and Mirena?


Forum: Birth Control

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  #1  
September 27th, 2006, 09:49 PM
Super Mommy
Join Date: Feb 2006
Location: Maine, USA
Posts: 973
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.

Is it common practice to cover IUD's?
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  #2  
September 28th, 2006, 07:43 AM
~Jess~'s Avatar Platinum Supermommy
Join Date: Oct 2005
Location: Central California
Posts: 16,959
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.
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  #3  
September 28th, 2006, 09:25 AM
BensMom's Avatar Ephesians 4:29
Join Date: Apr 2005
Location: The Lonestar State
Posts: 50,214
Quote:
I suddenly got a letter in the mail stating that they had overturned their decision[/b]
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  #4  
September 29th, 2006, 07:11 AM
queenofthecastle's Avatar Platinum Supermommy
Join Date: Feb 2005
Location: Fort Wayne, Indiana
Posts: 35,050
My insurance coveres IUD's. We found out by calling them. You might have to do that. I"m sure that it depends on the insurance company.

Angie
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  #5  
September 29th, 2006, 06:32 PM
Platinum Supermommy
Join Date: Jan 2006
Location: Wisconsin
Posts: 5,909
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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
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  #6  
September 29th, 2006, 06:37 PM
Elisabeth's Avatar Veteran
Join Date: Dec 2005
Location: Arkansas
Posts: 313
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I got the IUD back in June (love it btw) and medicaid just sent me a letter saying they would not cover it but it was only $50
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  #7  
September 29th, 2006, 09:08 PM
~Jess~'s Avatar Platinum Supermommy
Join Date: Oct 2005
Location: Central California
Posts: 16,959
Quote:
I got the IUD back in June (love it btw) and medicaid just sent me a letter saying they would not cover it but it was only $50[/b]
They must have covered some of it, mine was $600!
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  #8  
September 29th, 2006, 09:14 PM
asianmama
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Posts: n/a
call ur insurance company.. i just called wednsday for info on iuds and coverage-- oregon health plan-family care--they cover it.
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