Is a saline ultrasound a routine test for someone undergoing a donor egg or donor embryo cycle? The RE never recommended it when we were considering OE IVF. I had the HSG done. Do I need the saline ultrasound done in addition to the HSG?
I've had all of the infectious disease testing done in anticipation of OE IVF.
I've run into issues with my insurance company regarding the fertility coverage due to my high FSH so if this is done by my RE and coded as due to infertility, it might not be covered. Can an OB do it and could it be done for anything other than infertility?
Is it similar to a vaginal ultrasound? Or more like the HSG?
Your OB is probably right although I think there's a fine line between what is infertility related and what is routine testing in some cases. For example, the saline ultrasound be used to detect scar tissue from my previous c-section. So if my intent in looking for scar tissue is because I want to conceive it's infertility related and not covered but if my intent is because I have residual numbness it's covered. Bizarre.
What if I'm at my OB/Gyn's office and I ask for advice about how to conceive? Is that now infertility related and potentially not covered?
But this demonstrates how ridiculous it is that infertility is treated differently than other conditions.
My first RE coded everything as "menstrual disorder" so none of it was applied to my infertility max. I'm not sure why he did it given that I have infertility coverage and this is a mandate state so most of his patients would also have coverage.
NOT as bad as HSG at all for me. I read about saline u/s on line and upon reading about the pain that some women experienced lived in GREAT FEAR of having it done.
MY ob/gyn assured me that women with very painful periods sometimes have a hard time with this test (I don't and didn't). I always tell women that the HSG is HORRIBLE for about a minute. Just when you want to say you can't take it, it's over.
I would compare the saline u/s to an IUI - NBD (no big deal). MUCH easier for me than the dye test....
Huh???? How could a pap smear possibly be considered to be infertility related? Even if it's required by your RE before an IVF cycle, it's still considered to be a routine test with merit even if you're not an infertility patient.
The OB said any testing my IVF clinic required, would be coded as infertility-related.
He did my STD testing, and coded this as infertility-related also. There is some hypocrisy here, because in past visits he insisted on doing certain STD testing, even though I didn't feel I needed it.
For example, a while back he insisted on testing me for HPV, I said I didn't feel I needed it, but he said "anyone can have HPV!". So I agreed to the test. However, when I gave him the list of STD tests my RE wanted me to have, I said "well, couldn't anyone have these STDs, shouldn't I be tested for them anyway?So you could just code it as regular testing" And he said "no, its infertility related and I must code it that way". Total hypocrisy.
And I guess if he codes it as infertility related then the self pay rates are probably more than what insurance would pay. That's so ridiculous. Back before I met DH, I considered adoption and as part of the homestudy had to undergo STD testing including HIV. My PCP did them without and billed the insurance company. Would your OB consider that to be infertility related too? So silly...
Well, if I had to have STD tests for an adoption program, I'm sure my OB would code it as "not medically necessary". So I'd have to pay out of pocket, yes. I got a stern, condescending lecture from his office about insurance fraud and how he won't jeopardize his license by coding things the wrong way. They thought I was asking him to break the law, which is extreme, I wasn't asking that.
What I may do in the future, is refuse any additional testing that he suggests. Because I think OBs make extra money off these tests, and some of them I frankly don't need. And if I feel I do need them, I will just to Planned Parenthood.
Or may find another OB in the future. He's been okay so far, except for this one issue.
You can go donate blood and you get your FDA screening done for free. Either that or go to your primary care doctor and ask for FDA screening plus whatever extra the RE wanted you screened for. Forget telling them why you're doing it.
I've known some who did this, just requested all the standard STD screening, but doctors get nosy and will ask you other questions about your sex life. Then you get the old "safe sex" lecture from the doctor. I guess I just didn't want to sit through that lecture.
I look at my GP as a service provider, not my moral compass. You just have to tell him that speech isn't particularly appropriate, and that you'd just like him to draw your blood and send it to the lab. I'd rather tell the doctor to lay off the speeches than fight with an insurance company and pay a few hundred dollars extra. You sort of have to get a thick skin with these guys if you're going to venture into IF treatment if you're over 40 with high FSH.
But my insurance did cover my SIS and operative hysteroscopy, and I suspect that's b/c the doctor submitted it as routine gyn care. I know his prescription pads just indicated he was Dr. So-and-so, gynecologist, and I bet that's how he submitted the paperwork. But it probably added to the credibility of his claims that I had visited my GP s few months earlier for uterine discomfort related to perimenopause. And, for that matter, there's an argument that it was medically indicated. I doubt if my current insurer would let those claims go unscrutinized; my husband's previous plan was pretty much a Cadillac plan (I hate that term), and they never questioned anything.
I did end up having to pay for a number of STD tests, but my GP ordered a bunch of tests that she reasonably could and billed them. The clinic required the tests to be no more than 3 mos. old, so I had to get them again for my second cycle. GL! I know it's a pain, but you really do want to know that everything is ship-shape in your ute before laying down the cash for a DE cycle. Take care, Maggie (in VA)