ReneeBeth

Yes, I'm looking for someone in Pittsburgh, but already I know for a fact all the good doctors in this city seem to have a horribly long wait for an appointment. (as you see by the other 2 "looking for doc in pitts." threads)
I just got under Medicaid's UPMC HMO, so I know who I can see there, and I have insurance with hubby's work that'll kick in, and that is United Health Care, and they have a wide range of docs if I need to see someone that medicaid doesn't cover.
I'm waiting until I go to this new family doctor on wensd. he's a family friend and he does it ALL. he's a professor at U. Pitt., does allergy, general, OB/GYN and everything. So if he can't help me, I'm hoping he'll reffer me to a doc that maybe he can slip in a good word and get me in sooner
ANYWAY...my question is about insurance. If you go to a doctor to get help with infertility, as long as the doctor is covered under insurance, can you get away with getting treatment if the insurance doesn't cover infertility?
I know PCOS is so complicated, and many meds given for infertility (other than the hard-core infertility drugs) can be rx for things other than directly trying to get pregnant.
SO..how do I word it properly? Has anyone had a big problem with insurance and lets say, a regular OB/GYN or a reg endo treating you for infertility?

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Daniel Benjamin born/died October 4, 2004. Ari Lev born/died May 21, 2005.

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RunnerDuck

I was never treated for infertility, but I was treated for PCOS/insulin resistance. I saw a regular endocrinologist (CAMILLE BUONOCORE! AWESOME!) and she prescribed glucophage. I never had a problem from an insurance standpoint.

There is a difference between treating PCOS and treating infertility... I don't know what all you have been through at this point, but I would start trying to treat the PCOS, not directly attacking the infertility. Once you get the PCOS addressed, you may not even need to address the infertility, as it may not even be an issue!

All insurance companies are different in what they will and will not allow... so it's hard to give an answer on what you can get away with. I don't know anything about what if any infertility treatments Medicaid covers. I currently have United Health Care, however, and I believe I do have infertility options, should I need them - but what your plan covers actually has a lot to do with what your employer - the person providing the insurance - wants the plan to cover, and what your state requires insurance plans to cover. I can't remember if Pennsylvania requires infertility treatments be covered...

In short though, getting glucophage to treat the PCOS should not be a problem. Claiming things such as clomid, or IUI, or IVF, on the other hand, are to treat anything other than what they really treat, will be another issue.

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DDs b. 3/28/08
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We never talk of our lacking relationships
And how we're guilt-stricken, sobbing, with our heads on the floor
We fell through the ice when we tried not to slip..."
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