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  | emz   Senior Member
 
   
 
 Joined: 25 November 2006
 Location: Christchurch
 Points: 5321
 |  Post Options  Thanks(0)  Quote  Reply  Topic: Med Insurance? Posted: 17 April 2007 at 7:24pm
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   We are going to have to start fertility treatment (I know, bugger) as I am apparently infertile due to not ovulating at all, EVER.
 Does anyone know if the gyno's etc are covered by Medical Insurance? I'm with UniMed, it says it doesn't cover treatment for infertility, but I do have specialist cover    I guess the infertility thing cancels the specialist cover? The sad thing is, we can't TTC on the drugs etc if we can't afford to go to the specialist...
 Any help ladies? I'm so confused and really sad at the moment (although I knew this was going to happen, I was told when I was 15 but still kinda hoped, you know?)
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  | noodle   Senior Member
 
   
   
 Joined: 01 January 1900
 Location:  Auckland
 Points: 3193
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 17 April 2007 at 8:44pm | 
 
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   Emz i'm with unimed aswell, They covered the specialist appointments for me and also the ultrasounds i had and also for the pescriptions of clomid (they have only been $15.00 each time i have had them) but i think it depends on what cover you have and i think it only covers a certain amount per year for certain things! I was under the private specialist for 3 months (2 rounds of clomid) that was with a ultrasound for each round of clomid and they reimbursed the whole lot, not sure how much more they would have paid for tho! sorry i'm probably not much help! Can you ring them to find out? I hope they pay it for you! Can your GP refer you for public funding? 
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  | emz   Senior Member
 
   
 
 Joined: 25 November 2006
 Location: Christchurch
 Points: 5321
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 18 April 2007 at 12:32pm | 
 
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   Hey noodle, thanks for that. I had a big talk with my mum last night (didn't want to, but she was really understanding) as she still has my insurance info cos I'm under her work discount cover thing. She said go to the first appt with the specialist and then ring UniMed if need be. It depends on how many trips I'll need etc.
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  | tropics   Senior Member
 
   
   
 Joined: 25 February 2007
 Location: New Zealand
 Points: 2555
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 25 April 2007 at 11:07am | 
 
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   Im with southern cross does anyone know if they cover infertility? My Dr put down susptected PCOS and irregular periods on my scan form rather than infertility so that I could claim the first scan...but what about fertility treatment/ seeing a specialist etc?
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  | emile   Groupie
 
   
   
 Joined: 06 February 2007
 Location: New Zealand
 Points: 56
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 25 April 2007 at 11:47am | 
 
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   Hey Emz
 im with unimed and they said no to me
 
 iv just started ivf- publicly funded this round
 
 my tests didnt cost but scans did some of the time
 
 i guess it depends which plans we have aye
 
 take care
 
 Emile
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  | emz   Senior Member
 
   
 
 Joined: 25 November 2006
 Location: Christchurch
 Points: 5321
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 25 April 2007 at 2:30pm | 
 
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   Hi Emile,
 I talked to my gyno about it and he said that because I've had him for my conditions before that he'll put it all under that, so I get covered which is great for me. Bummer for you though    Kye, I don't think many places cover 'infertility' but most specialists will just write it under 'consultation' etc without stating infertility, from my little knowledge on the subject and after talking to my gyno about it. There's probably a clause in there (there is in mine) that says about the conditions your med ins doesn't cover.
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  | pikelets   Senior Member
 
   
   
 Joined: 08 April 2007
 Location: Auckland
 Points: 760
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 08 May 2007 at 6:42pm | 
 
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   DH and I have decided to start looking at going private.  
 I checked with our medical insurance company and they have said that the initial consultation will be covered as it is a consultation, not a treatment.
 Thanks for starting this thread or I would never have thought to check    | 
 
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  | ginger   Moderator Group
 
   
   
 Joined: 01 January 1900
 Location: New Zealand
 Points: 2714
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 09 May 2007 at 8:23am | 
 
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   Bollocks.  I wonder if that would be the same for us?  I might look into that.  I didn't even think of it as I just assumed it came under fertility treatment, which my insurers don't cover.  Who are you with (insurance coy) Star?
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     Cuinn Lachlan 23.1.09 - 22:00
Antonia Helene 4.8.11 - 09:41
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  | pikelets   Senior Member
 
   
   
 Joined: 08 April 2007
 Location: Auckland
 Points: 760
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 09 May 2007 at 7:34pm | 
 
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   Uur insurance is through DH work. 
 Definately check with yours though - theres nothing to lose
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  | emz   Senior Member
 
   
 
 Joined: 25 November 2006
 Location: Christchurch
 Points: 5321
 |  Post Options  Thanks(0)  Quote  Reply  Posted: 10 May 2007 at 12:59pm | 
 
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   I think it's the same with most - consultations are covered, but not treatment. That's what I found with mine anyway.
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