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so i know my insurance doesn't cover infertility but will it cover something if i tell him i think i might have pcos, i would really want to try clomid but not sure how to go about this? any loopholes that might help me save money?

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Asked by Anonymous at 9:13 PM on Feb. 7, 2010 in Trying to Conceive

Answers (7)
  • why do you want fertility drugs?

    Answer by peanutsmommy1 at 9:14 PM on Feb. 7, 2010

  • you can tell doc anything you want. but without a firm medical diagnosis in some cases proven by ultrasounds and bloodwork ups, things are covered. pcos very likely would need to have tests proven to your insurance.

    Answer by lfl at 9:16 PM on Feb. 7, 2010

  • meant without diagnostics of ultrasounds, bloodwork some things will not be covered.

    have you looked up pcos to see its symptoms and what its about? maybe a different job would give better insurance for you.

    Answer by lfl at 9:18 PM on Feb. 7, 2010

  • clomid is not a treatment drug for PCOS
    it is an infertility drug used in women with PCOS that are having problems conceiving.
    no you will not be able to get it covered.
    wanting a baby is not a medical problem in the eyes of insurance companies. Even if infertility is technically a medical problem, it's not one that truly effects your life or your health.

    Answer by Anonymous at 9:54 PM on Feb. 7, 2010

  • Clomid costs between 30-75 dollars a cycle without insurance. Walmart has the cheapest generic brand. Walgreens is a bit more expensive. Just call pharmacies around and get quotes. Once you find the cheapest area ask your doctor to write you a prescription for the generic Clomiphene. Best of luck.

    Answer by Crissy1213 at 2:06 AM on Feb. 8, 2010

  • Did you actually call your insurance company & ask? Infertility is often covered by insurance companies.

    Answer by motherofhope98 at 9:47 AM on Feb. 8, 2010

  • Even if infertility treatments are not covered, your insurance may cover testing to determine what your problem is. Especially if you have symptom such as irregular cycles, it is pretty common for testing to determine the cause of this to be covered by insurance. Insurance also sometimes covers "preconception" consultations. Your insurance provider may not be very forthcoming (or knowledgable) about what it will cover, but chances are your OB/GYN's office can find out. You may also find that your insurance covers some odd things and not others - mine covered testing and IUI, but did not cover any fertility drugs, which outside of Clomid the drugs get pretty pricey. My insurance covered some monitoring, but I paid a lot out of pocket until after I was actually pregnant. GL!

    Answer by Anonymous at 10:16 AM on Feb. 9, 2010

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