Ok, so I got in touch with my new RE's office today since I refuse to step foot into Dr.Jackass' office again unless I am signing the release to transfer my records. The new place is two hours away, which means more time off work, but better care so in the end it's worth it. I was mainly concerned about the difference in cost compared to the local RE here. With my last IUI cycle including Follistim, Clomid, ultrasounds, and the IUI itself broke down as follows:
~Baseline co-pay: 30.00
~Clomid: 10.00 (go wal-mart!)
~Mid-cycle u/s co-pay: 30.00
~Total: 741.00....not too shabby in the IF world, so it didn't create TOO much of a dent.
Now, before I go into the new clinic pricing I must say this. According to the insurance lady there whom I just spoke with, because I am a new patient to Dr. "W" everything up until the IUI procedure will be billed diagnostically because that facility has never seen me before. AFTER the first IUI, everything will be out of pocket unless a different diagnosis other than infertility is discovered. This means that all my u/s and office visits for the first IUI is covered but if it doesn't work the first time around....I'm responsible for everything there after. So, in saying this, let's look at my first IUI round:
~Consult prior to cycle: 30.00
~Baseline u/s: 30.00
~Clomid: 10.00 (if doing combo cycle)
~Follistim+Trigger: around 1200.00 if I just do injects(maybe 1000 since I have 300IUs left over from before) or 500.00 for combo
~Mid-cycle u/s: 30.00
~Another u/s to check before IUI (I'm assuming this will be done): 30.00
~IUI(including lab fees for sperm washing, etc): 315.00
~ Total:950.00 (for combo)- 1635.00(for all injects)......hmm, thats a bigger dent, lol.
OK, now lets look at any following IUI's
~Clomid: 10.00(if a combo cycle)
~Follistim: around 500.00 (1200.00 if just injects)
~Mid-cycle u/s: 228.00
~Another u/s check: 228.00
~Total: 1509.00(on combo cycle) - 2200.00 (all injects)
So, after my first IUI (if it doesn't work) Thomas and I have a lot to think about and I am highly considering taking out a loan for IVF because one or two IUI cycles ranging around 2000.00 equals about half of IVF, so why not go for the full sha-bang right?
This now leads me into my anatomical parts discussion. In the past 2 weeks with my OB I have learned more about my anatomical positioning than I learned in a year with Dr. Jackass. For instance, I have learned that my uterus tilts left, my left ovary is behind my uterus and most likely attached to it and my right ovary is retroverted(which means it faces my back basically). Now, Dr. Wonderful said this won't prevent me from getting pregnant (obviously) but it may hinder it and put me at a higher risk for ectopic. So, with all the financial aspects of my new clinic AND my newfound girlie parts information, I do believe IVF is in my future *if* my first IUI with Dr. W doesn't work. Sounds logical right?