I was going to write this entry yesterday, but it is probably just as well that I didn’t, as it would have consisted primarily of the word COCKSUCKER repeated with escalating font size and number of exclamation points. Today I have cooled down enough to instead provide you with a dispassionate recitation of the facts:
Fact #1: My medical insurance (Blue Cross) has always covered fertility medications. This year, however, my employer farmed out our prescription coverage to a separate vendor, with much assurance that nothing much was changing—our copays are exactly the same, as is the amount we pay for our medical plan. However, as I found out yesterday when I called the company administering our prescription benefits (sounds like Haetna), our new prescription policy does not cover fertility medications. At all.
You will all be relieved to know that while the company will not cover so much as a tab of Clomid, we do have a yearly allowance for “Male Performance Enhancement” medication.
I am filing a formal letter of complaint with my employer, though I will have to revise the one I wrote yesterday, as the page is gooey from all the dripping sarcasm. Though at least it is an improvement over my first draft, which read: “I HOPE YOU’RE HAPPY YOU SOULLESS CORPORATE ASS-PIGS! SCREW YOU AND YOUR HATEFUL, EMPLOYEE-FUCKING BOTTOM LINE!!!”
Ahem.
So, what I said Monday about not going into debt for this cycle? Not going to happen, with $3000 worth of meds to buy within the next week or so. And this pretty much guarantees that by the time we can afford a second cycle we will be using the complimentary retirement home shuttle service to make it to our RE appointments. So, no pressure!
Fact #2: I cancelled my trip to BlogHer. For reasons, see Fact #1. Also, I expect to start Lupron that weekend and adding the stress of travel to an already overloaded month is probably a bad idea. I’m mostly fine with this fact, under the circumstances, but I reserve the right to be pissed off that the circumstances exist.
Fact #3: Dr. Doctor, the only Reproductive Endocrinologist I have ever loved, is leaving the clinic. Her last day is this Friday. As in the day after tomorrow. I found out yesterday from another clinic patient, and confirmed it with a nurse this morning. Apparently a letter was sent out, but has not yet been forwarded to my new address. My care will be transferred to one of the other two REs, neither of whom I have worked with before, either of whom may fail to find me enchanting and instead pooh-pooh my research and wave aside my concerns. I am trying not to panic about losing the doctor I have seen for the past two years, but guess what? It’s not working. I still haven’t received my “official” retrieval date and prescriptions, which I was supposed to have by this morning. She promised me a late-mid August retrieval, but now that she is leaving I don’t even know if she is the still the one writing my protocol. I also don’t know whether she made it clear that I am to be referred to a hematologist, and I fear that my new doctor will look at the borderline but technically “normal” results of my recurrent miscarriage bloodwork and decide it isn’t necessary. Though I pity the fool who tries this, at least before removing all sharp objects from his office.
Mostly, though, I will miss the good times Dr. Doctor and I shared together—the thoughtful way she says “Now you’re going to feel some pressure,” her careful interpretation of clinical studies, her warm, sterile embrace. I even wrote a little poem:
I think that I shall never see
a more lovely, temperate RE
An RE whose hands are never cold
With research current—never old
An RE who surfs PubMed all day
Explains each test and each X-ray
Who found my cervix (with some poking)
And laughs at my pathetic joking
An RE who’s gentle with her wand
An RE of whom I’ve grown so fond
Many doctors there may be
but none as fair as my RE
When I get my meds, rest assured I will pour out a little Gonal-F in her honor.


{ 19 comments… read them below or add one }
Is there any way that your RE (whoever that may be) would be willing to let you get your Rx filled overseas and use Repronex instead?
Once my RE knew that our insurance wouldn’t cover the drugs (or anything else related to non-OB stirrup usage), she gave us that option. The savings is considerable with the two minor disadvantages being: 1) the repronex must be mixed; and 2) it is injected IM instead of subQ.
Just a thought.
Why do I get this creepy feeling that your cheap insurance company does not want to pay the medical bills of more people- particularly little ones.
That could be paranoia. Either way, it fucking sucks.
Sorry, girl.
I hate insurance companies. I HATE THEM.
Picture varying font sizes and/or increasing numbers of exclamation points here, as well.
I will try and find out if there is anything good you can do with this particular insurance issue. My husband is CONSTANTLY dealing with the Evil Empire of Insurance.
Ugh! That sucks! I’m sorry you’re getting all this bad stuff at once – hopefully that’s your three and the next will be good!
Cocksucker seems an entirely appropriate response. What a horrible shock.
re blogher, I remember that julie and julia went last year, and julie wrote afterwards that it was not a good place for infertiles as the whole place was full of women talkign about their children, and talking about writing about their children. So perhaps you are better off in sunny MN?
What you said about how your insurance will cover male performance enhancers but not IVF drugs? I said that to my senator. And so far he hasn’t listened but damn if I won’t beat down his door with a lawsuit if I have to. Somebody really ought to sue. I dunno, maybe I’m just pissy today. But seriously, it’s ridiculous. If not having an erection means you miss a vital part of life, what does infertility qualify as? A minor cold? COCKSUCKERS!!!
Ahem.
So sorry to hear about Dr.Doctor leaving! I hope your new doc is as good or better. Or at least that s/he gets who you are as a person and treats in the manner to which you have become accustomed.
Oh fucker. I’m sorry Alexa. I’ll be crossing those fingers for the whole process, and boy howdy, that fucking sucks, and cocksucker to the MAX, baby.
(Also, I really like you! Does that help? And you would be one of the reasons I’d go to BlogHer, except of course, I’m not, but if I were the BHing kind, I’d want to beeline for you.)
What a load of bullshit .. sorry about Fact #1-3. Good luck getting everything straightened out. I know you will get it done
I’m sorry Alexa. And I hope you hear the “You’re going to feel some pressure” line from someone equally as sweet and not, say, from my baritone-voiced OB, who also looks like John Goodman in a dress.
Aaaacghggh! No!
Very expensive meds and no more Dr. Doctor?!?! Where is she going? Can you follow her here? If not, I highly recommend trying to get in touch with her to get the low down on the other two REs in the practice. My guess is that someone like her wouldn’t choose a practice with asshat REs, but you never know and even if they’re just a little bit bad, she’ll be able to tell you the best way to handle them.
Oh, Alexa!
I assume you’re now shopping around for the best price on the meds. It changes frequently, so I can’t help you there. But try the internet pharmacies as well as local places.
Ugh!
Thank God I got past COCKSUCKER eh? Um. So.
What meds do you need? You know of course, that there are TONSSSSSSS of women who have extra meds that can be donated? Your clinic may have some too? that you don’t necessarily have to take follistim/gonalf/repro (I always take the SQ btw and I have some leftover). Don’t go into debt for this Alexa – just ask for help – do you see how many readers you have?
Oh and I’m so sorry about Dr. Doctor, but um, wasting GF? You know how expensive that shit is?
Well, that’s all my wine allowance will um, allow for tonight.
Insurance companies fucking suck. Ours covers NOTHING – diagnostic only. Every appoitment for monitoring, etc is out of pocket. I am so glad our copay is going to good use.
That’s the crappy part about when our companies change insurance companies–they say things will be “mostly the same,” but neglect to point out that they’re saving a buck or two on line items like IF. Argh!
Fuuuuuuuuck.
Why is it so difficult to find doctors who don’t mind if their patients have brains?
I know I already posted, but I’m posting again a day later to tell you that I’m still pissed off on your behalf and I’m still really sorry.
Hope you’re having a good day, possibly with chocolates and good books and cat-snuggles.
No more coverage and your doctor leaving, that’s one bad double whammy!
Ugh, this ALL sucks and I’m so sorry. I’m also feeling just a little bit sorry for MYSELF that I won’t be able to meet you at BlogHer now. I will pour out a little…..dork juice or something for you. Thinking of you.
i hate you, evil insurance companies. this AND your beloved RE leaving? that’s far too much. i hope you get answers about your retrieval and such soon.
Alexa, I’m so sorry. We’re having our own run ins with insurance right now. (Sicko couln’t have come out at a better time) They’re not covering Myles. At all. So until we can process our application with another insurance company I have a baby with no insurance AND I have to pay thousands of dollars for the care he’s already received.
Is there any way you can appeal to your healthcare administrators and switch plans before your open enrollment period? Not that you should have to even deal with this shit. The whole thing just sucks.