Had my CCRM consult

lkmisc · Post by **lkmisc** » Fri Sep 26, 2008 3:27 pm

I have Highmark BCBS. I didn't know about the waiver process. I am surprised by it because it seems everyone would be asking for waivers. When I called about my lab coverage, I was only told they were out of network and I would have the $1K deductible.

I wonder if I can now do it after the fact, since I have completed my IVF cycle?

It is the lab, in my case, that is considered out of network. The surgical center services would not be covered since that was for the IVF, and my insurance will not cover that part. Only the fertility testing.

If anyone has any more information to pass on regarding how they successfully achieved getting additional coverage, please let us know!

Thanks.

Linda

kerpupples · Post by **kerpupples** » Fri Sep 26, 2008 3:56 pm

Linda, I would call your insurance to ask about it. I have a colleague who will also be going to CCRM soon, and when she called Blue Cross to ask what would be covered they mentioned the waiver to her as well.

MommaKK · Post by **MommaKK** » Fri Sep 26, 2008 4:22 pm

would love to get your advice on the med companies, as I just maxed out my insurance and will be paying out of pocket this round.

please advise, or I can be reached by email at kray212@yahoo.com

thanks!

lkmisc · Post by **lkmisc** » Sat Sep 27, 2008 9:07 pm

Just got my test result from CCCRM! It's positive!

But... I'm too afraid to relax and enjoy it because of the m/c chances.

My progesterone has to be tested on Mon and Fri to be sure it is increasing.

Hope I can add to their success stats!

Will be holding my breath for 20 weeks at least...

Linda

dcu917 · Post by **dcu917** » Wed Oct 01, 2008 2:13 am

Congratulations on your BFP, Linda!

We'll be going for our one day workup next Wed, excited and nervous at the same time. Hoping their experience can help us out!!!

lynniecat · Post by **lynniecat** » Wed Oct 01, 2008 6:46 pm

Just so you all know. CCRM requires 2 months of testing and shuts down for December, so I am in the position of missing 4 cycles. I might try to find someone for a cycle in between.

kerpupples · Post by **kerpupples** » Wed Oct 01, 2008 7:38 pm

Wow. Figures that they shut down the entire month. Sorry to hear it. Maybe you can try an IUI in the interim?

lynniecat · Post by **lynniecat** » Thu Oct 02, 2008 1:30 am

Yeah, I just need to find a clinic as I moved across the country and my old clinic does not do long distance IVF rounds. I might ask them if I could set that up though if I can not get CCRM to cycle me before January.

lkmisc · Post by **lkmisc** » Thu Oct 02, 2008 2:49 pm

I did contact BCBS on the waiver and they said that my employer plan does not allow for that. Oh well, it was worth a try...

I had forgotten about CCRM shutting down in Dec. They have to do that I believe once a year for maintenance, cleaning and inspection of all their equipment. I think the time varies from year to year.

If you do decide to do IVF with another clinic, be sure to compare their IVF success rates via www.sart.org. The clinic you use makes a huge difference.

I had my first consult with CCRM in early July. I then had to schedule my one day work up, and just had to wait for my cycle to start on its own, with the actual IVF taking place in Sept. So, the whole process took 2 months, but only because of waiting for my period. I think it could have been as early as 1.5 months.

Best of luck on the one day workup!

Linda

lynniecat · Post by **lynniecat** » Thu Oct 02, 2008 7:33 pm

Hey Linda,

My issues is they are insisting on a second month for a clomid challenge test. If I did not have to do that , I would be fine. I am hoping to talk them out of it so that we won't wait to Jan. I will tell them I want a cycle regardless. But they might use cut-offs with the clomid challenge which is the only reason to force me to do it IMO when they have follicle counts, day 3 fsh and AMH.

Leaving soon for Denver, very nervous!

Lynn

Had my CCRM consult

med advice wanted on perscription purchase

Advertisements