Friday, July 11, 2008

Insurance SUCKS!

Sorry if you don't like that word...sucks...but it is SOOOOOOOO true. How can our health system be so screwed up that person A gets complete infertility coverage, person B gets 50%, and person C gets next to nothing?

I hate being person C.

Everything is set to go for our next IVF round. I am doing the same meds I did a year ago... The one and only change this time was to be the progestrone. Progesterone prepares the body (uterus) to receive a fertilized egg. WELL, there is a new medicine on the market called Endometrin, which seems to have a fairly high success rate when used with the two medicines I will be stimming my body with. The medicine is $4.99 A PILL! Ouch. As I'd have to take this twice daily, one box ($104.79) would get me 10 1/2 days worth of medicine. If I acheive pregnancy, I would have to be on this medicine for 10 to 12 weeks.

My insurance won't cover this new medicine.

Great, of course. Why would I get so excited that it would be covered? Why? Just another let down in the world of infertility treatments. So now I get the sheer pleasure of being given a shot of progesterone in oil (sesame oil - nice and thick!) in my arse by my sweet loving husband every night. And not to mention, the needle is the size of my pinky.

7 comments:

Carolyn said...

It's a real racket. There is the maker of the drug charging an arm and a leg (because they can) and the insurance company balking...and then there is the insurance company thinking a lower cost alternative is available...even if it is a yucky, big shot! I feel for you, honey. :(

Amy (TheGiggleWorm) said...

I hate insurance companies also

I am rooting for you this cycle!

Christi said...

I'm so sorry, insurance companies do SUCK!!

Jill said...

Oh, crap Kristen. Is there a comparable substitute for Endometrin? What about Prometrium? That's what I used and it wasn't too expensive...

For what it's worth, I think insurance companies are what is wrong with health care! They are ridiculous!

Kim said...

I agree...I hate being person C also. I can't believe that we have to go into debt BEFORE we have children. Good Luck!!

We are the Ferrari's said...

Ugh, how annoying! Insurance companies are the biggest crock in this country!

Anonymous said...

I know it is expensive and it totally sucks that your insurance company won't pay for it, but it is a WONDER drug. I have LPD and my RE put me on it alone, not other meds. (I ovulate fine on my own.) On my third month, a actually two weeks before I was to start my IVF cycle, I found out I was pregnant. That was nearly 18 weeks ago!! Heres hoping it works just as well for you!