Well, she arrived in full force on Saturday. Lucky me. I'll be picking up my femara tonight in conjunction with some much-needed grocery shopping. I feel terrible, because I just don't feel like it's going to work, but third time's the charm, right? *eye roll* Nick maintains his ever-optimistic point of view, though. I suppose one of us should.
Speaking of Nick, he called the insurance company today to inquire about a few things:
- Why are our bills from office visits with no procedures costing us more than $200 out of pocket?
- Why did a single tube of blood and it's subsequent lab-running cost nearly $300?
- What will we need to do when we go back to do our HSG/IUI/any procedure?
- Why do we have to spend thousands of dollars to do something that lots of women get to do for free? (He didn't really ask them this, but their answer would have been something like, "To keep us in business!")
Basically, after we hit our deductible (it gets fuzzy after this because I literally understand nothing about insurance), they pay 90% until we've paid $1200 out of pocket for the year, then they pay 100%. They said I've hit my deductible (yay), so they're paying 90% at this point. This begs the question: Where, in the name of all that is holy, do they get off charging $2000 for 30 minutes in a doctor's office?!? Unless I'm doing the math wrong, the fact that I've paid $200 for office visits, and Cigna is paying 90%, says to me that the office visits cost $2000! Please tell me I'm wrong! Nick forgot to ask them about the lab work, so he'll call them back soon to talk about that.
As for the procedures, we have to get pre-authorization on a procedure by procedure basis. Is this normal? I guess I was thinking/hoping/assuming that it would just be an umbrella pre-auth. What I want to know is how long they're going to take to do the authorization once we tell them we are doing a procedure. I mean, if I'm only given a week or two of warning beforehand, will that be enough time, or will I be paying out of pocket for the joy of someone shooting dye up my fallopian tubes? I just don't know. I mean, I guess I should be happy that we even HAVE infertility coverage, but it's such a pain in the butt, know what I mean? They DO cover AI, IUI, and certain types of IVF (I've been putting off doing any overt research on IVF in the hopes that I won't ever need it). However, we have MedCo for prescriptions and I hate them. They're all about 30 day supplies of stuff, even though we keep trying to explain to them that I only need 10 pills or a week's worth of antibiotics or whatever. ugh It makes me wish I drank!
Anyway, this post is getting longer than I was expecting it to, and I'm sure it's bored you to death. I'm very sorry. Hopefully soon, my hormones will make me be in a better mood and all my posts won't be whiny. One can only hope.