Thursday, February 9, 2012

Bad Me

So I've been going back and forth with the insurance company to approve my damn prescriptions. After numerous calls for almost 2 weeks, I finally got the approval yesterday. So I call the pharmacy to find out that our drug bill for this cycle will be $7,900. I was not expecting this at all. Which is really my fault. I know our maximum coverage for meds lifetime is $7,500 however I did not know that we blew it all last round. I thought maybe we spent $4,000-$5,000 of the coverage and we would pay a few grand but not almost $8,000. So bad me for not double checking that. After I hear this I start having heart palps about how much money this is because we have not planned for it. But what can you do. Pay for it. I was pretty upset yesterday because I was just caught off guard. Needless to say I did cry a bit.

I pulled it together today and called the pharmacy back to pay, but when we go through the prescriptions, I realize they had not accounted for the fact I already had two full Gonal F Pens (liquid gold people, $1200 a pen) and a box of Menopur from my last cycle. Plus with my insurance not covering these meds (so ironic after stalking them for 2 weeks), the pharmacy can process them in a different way to get a few discounts.

Well God Bless Toni, the pharmacist who helped me today. She went through each medication processing it either through our insurance or this other RX plan and getting us the best price on each one. Plus she even had a $50 coupon for the Endometrin. So our total price $4,300. Quite a difference from $8,000. And it kills me because what our insurance charges for some of the drugs vs. this other RX plan was quite different, basically robbery. The things you learn.

This cycle just has to work. I had a problem even getting this cycle approved because I had a day 5 FSH test vs. a day 2-3 that my insurance requires. Well I got that approved by them. Then all the red tape with the meds. I'm just seeing it as a sign this cycle is suppose to happen now. I'm feeling very positive now going into it after a bad day yesterday. Much different than cycle 1.

And I would just like to say all of you who are doing this all on your own, with no insurance coverage, and no financial help, I truly commend you for all you are doing to fight IF and get that baby of your dreams. It's already so hard on the mind, body and spirit then just the money on top of it can really put all of this over the edge.



7 comments:

  1. I am so happy that your were able to get the insurance and meds figured out. What a sweet working working with you and making sure everything was correct!

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  2. This brings back BAD memories of all those dang meds and costs! I wish I still had extra to give to you! What I did find (not sure if it will still help) is that there are a LOT of people with extra medications at the end of their cycle- you may be able to find someone willing to sell their extra's at cost. The only hard thing with that is trusting that they refrigerated the right ones and all that fun stuff! I am SO glad they got you such a better deal! Totally praying for you this cycle!!!! Can't wait for you to get your BFP!!!:)

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  3. IF meds and treatments are such a racket.....I've recently learned our coverage changed & I'm totally freaked as to how its going to work out.

    i'm so glad you got everything worked out....I really hope this is your cycle!!! keeping you in my thoughts and prayers...

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  4. Wow girl! I about choked when I read $8,000 for meds but so happy that you had such an amazing pharmacist that nearly cut that cost in half - that's amazing!! And to run into someone who took their time and made such a difference in your day is priceless. We just started our stims tonight so we're right there with you! Best wishes!

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  5. That's amazing that you saved that much on your meds! Toni rocks! Keep on fighting the good fight and good luck!

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  6. So glad Toni was there to help! Some people make all the difference.

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  7. Hi... here from Cyclesistas :)) Joining the list for this month while doing IVF #4... great that you got your insurance worked out. You guys do it so hard in the US with costs and insurance.. it's hard enough already :( I have a private blog {via newyearmum2.blogspot.com}, but happy for other IF/ART bloggers to join - just email me via my updater blog :) Good luck for your cycle and great to be cycling with you xoxo

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