Poetgirl~ I have BCBS PPO. Dr Young does not participate with them, but he did say that they have a meeting with BCBS next month and he is planning that they will begin to participate. I also talked with my insurance co and thay said that although at this point they do not participate, if I turn in my itimized receipts, I can still be reimbursed for whatever is covered, I just have to pay for it up front. Also, they would be considered an out of network doctor, which means BCBS would pay 60% of infertility treatment up to $3500 per calendar year, and fertility drugs are covered as well. My max out of pocket before they paid the $3500 would be $5000. She did say thought that if my referring doctor was in network (which he is) then that would change everything. They would now pay 80% up to $3500 after an out of pocket max of $1500 per calendar year, fertility meds still covered. The only thing that I am not sure of though is the u/s and b/w. Im guessing that the $3500 would go towards all of that stuff too, but am not sure. I really hope that that answers your question! If I can help any more, please dont hesitate to ask me!!
My first course of treatment is going to be surgery to retry the HSG, put a camera in my tubes to figure out where/why/if for sure my tubes are blocked, remove whichever or both tubes that are blocked. If one is still good healthy and functioning, Dr Young is going to put me on meds to help me ovulate fully on one side. If both are bad, they are going to remove them both and we will go straight to IVF....I have an appt with my doc a week from monday (July 28) to schedule the surgery.
Hope everyone is having a great weekend!
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Jo
. I've got a few responses on Finding your tribe that have been helpful. We'll see. I don't love my fert. clinic at all but still it is hard to think about starting again somewhere new.
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It seems Dodds and Young are a strong probability.
