Wednesday, August 15, 2007

Insurance companies suck

I’m still fighting with the insurance company about last cycle’s PGD. They’re saying $350 is the max allowable and have applied that to my deductible. Umm exsqueeze me, but last cycle they paid $1665: $350 towards deductible, $394.50 towards co-insurance (my 20%), and $920.50 paid to me. I asked to have it sent back for review and got the same answer. I asked again to have it sent back for review and reference the claim from December. It’s still in review.

I was finally able to get into the BCBS site and they are indeed submitted with different procedure codes. It looks like I will have to 1) look at what I submitted 2) wait til this claim comes out of review and 3) ask the RE to give me a billing with the original procedure code so I can resubmit and get paid. $900 is a good chunk towards the $3300 we need to come up with out of pocket for the next cycle.

I’m not sure I’d announced it anywhere, but we’re waiting til the November IVF cycle. There’s just too much going on in September. I will actually start injections in October so it’s not really waiting much longer.

Steve woke up this morning with crusty pink eyes. My ear and throat hurt like crazy and my voice (my boys lol) failed me for awhile this morning. Steve had laryngitis from Wed or Thurs last week til Sun or Mon. His ear hurt a few days ago. I guess I'm following in his germy footsteps and he's following (at least partially) in Stef's. We left a message for the CRNP yesterday. We'll see what she says after he talks to her sometime today.

Krista and Angela - It looks like the weather is going to be perfect for you Friday.

1 comment:

Elisa said...

I don't know what to tell you about that.

As for the Y, it's $69 a month. All adult classes are included. Kids programs are really cheap. Like $20 for swim lessons or any of the different type of classes they offer. The art class I took Emma to for example was $12 for 4 weeks.

They have two huge swimming pools and a lot of classes such as pilates, yoga, strength & sculpt, cardio craze (just to name a few that I've actually tried.) Not to mention 2 hours of child care every time I go. LOL