IUI cost depends on what type of medication your doctor prescribes. Most health care plans do NOT cover the IUI procedure but they DO cover a percentage of IVF. (Strange isn't it)
I can only share expenses from the process I went thru.
Initial visit - $235 (I had insurance so I only paid $15 copay)
Medication -
1mg Dexamethozone, 10 pills $4.00 without insurance ($0.72 with insurance)
Femara 2.5mg 10 pills $150.49 without insurance ($37.61 with)
Novarel 100000UNT $118.99 without insurance ($1.25 with)
IUI Procedure - $350 my insurance did not cover this
Progesterone blood test - $235 without insurance ($15 copay with insurance)
Also it is inaccurate to measure IUI success rate by measuring the doctor's success rate.
It's not the doctor - each IUI procedure is independent and there are several factors, a primary one depends on the woman's condition and the quality/motility of the sperm. Overall IUI success rates are in the 20% range.
I tried it twice and got pregnant on the 2nd try. Hubby and I don't have any issues (PCOS, endometriosis, cysts...) We just have bad timing that's all. 1st round didn't work because we used Clomid and it thinned out the uterine lining too much. 2nd Try was with Femara and it worked.
Good luck to you!
I agree it is very unfortunate.
Oh yes, I agree!!! I believe there should be some manadate that all ins. companies should have SOMETHING. But if the government sees it right to provide this for our servicemen and women-then why not make it mandatory that ins. co.'s help some for the citizens. I know some do, but most do not and that is unfortunate for the couples who cannot affort it.
Yes it would be WONDERFUL if all INS companies had fertility coverage! My husband will be getting out soon so we are taking advantage of our INS while we can.... But I feel that's the least the government can do for us military families that sacrafice so much!
Gee. Ladies, don't you think that if the government has some coverage for infertility covered under their benefits, that the REST OF THE INSURANCE COMPANIES SHOULD PROVIDE SOME (I'M NOt SAYING ALL) BUT SOME OF THESE COSTS FOR US WOMEN WHO HAVE NO BENEFITS????
Just food for thought.
Yea that is great... I wish i wasnt so far away cause id go...but we are at Travis AFB, CA & our fertility clinic on base closed a few years ago..so now I have to drive to Davis, CA which is like 30-40min away... Not too bad...but it ain't free either! But I'm thankfull for what tricare does cover!
So nickie when is your IUI gonna be?
Wow! I don't mind paying the 500 for the iui and I need my husband and he just started his new position here in vegas and I am going to the best fertility specialist in Las Vegas and I finally got the co pay thing figured out so driving to san diego is kinda out the question but that would be awesome!
My husband is in the Marines and I am active duty navy. We are stationed in San Diego. We go to the Infertility clinic on base (Naval Medical Center San Diego) and it is all free. I don't know if it is worth driving from Las Vegas to San Diego, but its a thought. They only do IUIs no IVF. But its 100% covered, all meds and the proccedures... and there is no wait list!
Well I called tricare and the reason that I had to pay full price is because the doc didn't call the right number for pre authorization. I called my doc and they are going to fix all of it for me so I should be receiving a refund. Thank you so much for the fill in.
LOL too bad I can't save myself some money like that...haha!
You saved me like 500 bucks! OMFG!
They (my doc) are going to take care of it tomorrow and call tri care and the pharmacy and I better be getting a huge refund! I am so p***ed off! Thank you for the information though because I would be none the wiser!
Ok so I just went to tricare.com and clicked on "prescriptions" and then there is a place where u can search for meds to see if they are covered or not...I put gonal-f in and it pops up & if you click on gonal-f it'll show you how much the copay is ($9) off base & it's even free if you get it at the BX... Mine doesn't carry it! So yea they totally screwed you...and someone owes you $$$$$
OMG I am going to call tri care back right now!
I just got my order about 1-2wks ago I doing my last shot tonight (hopefully) and I did the same last month (failed iui)
Do you know what the cpt is for the gonal f shots by any chance?
Oh sh** I am going to be so P O'd if they charged me 500 for no reason. I am not taking a hcg trigger shot just progesterone suppositories. I called my doctor and the nurse on call is going to call me back so I can talk to someone at tricare. OMG I am so mad! How long ago did you do this?
Yea they did cause that's who I went through!
And it also covered the HCG trigger shot...that was $3
I am calling tricare right now to see if fertility freedom ripped me off or not!
Yes I have prime also (all active duty has prime) and yes this is my second month using gonal-f and this month my RE ordered me 3 900iu pens and I only had to pay 1 copay charge of $9...I won't use all of them but he said it's just incase I need it next month I'll already have it! So if I were you I'd call tricare and see why it's not covered..because in the tricare pamphlet it also says meds are covered...the only thing that's not is the IUIs and IVF...but even meds for IVF are covered! Maybe they can reimburse you?? That money you spent will cover the IUI!
I have tricare prime and they charged me for 500 for two gonal f shots. Did you take those????
i have always been covered. i pay $25 dr copay and meds. when it was clomid the meds were just the copay cost of any other Rx. but injectables are way more. it can be like $900 for one pen of follistim. again, mine was covered i just paid like $80 for the HCG plus the copay. keep in mind my hubby's insurance covered the semen "analysis". so actually it was a $50 dr copay. pretty cheap for me.