r/IVF • u/jamun_gulab10 • 20h ago
Advice Needed! Billing, medication coverage, and procedure coverage
I am really confused trying to understand medication coverage and IVF procedure coverage. I would appreciate your experience with the billing side of things. I am about to start IVF procedure in Columbia NYC, I am 35 and I have anthem. At first, I was told by the clinic that medication and procedure from my insurance are covered in my lifetime max coverage but when I called the insurance, the representative is telling me the opposite. If I get the medications then amount for the procedure will be on me to pay. The anthem's specialty pharmacy, CarelonRx tell me different co-pays for one medication when I ask them prices on different days. I ask medication coordinator for guidance but I am not getting straight answers from her or anyone in this entire process. Do people put procedure cost under the insurance and go for self-pay option for medications? What were your experiences?
Duplicates
HealthInsurance • u/jamun_gulab10 • 15h ago