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MY FORM OF BIRTH CONTROL IS BEING DENIED!

Don't let the government fool you!  Not all birth control methods are considered equal.  This year since there is a "war on woman" the policy needs to change.  My health insurance will not pay for my Natural Family Planning.  They tell me because it is coded educational.  When you take birth control, have an IUD or the patch, doesn't the doctor educate you on the product?  Doing Natural Family Planning has the same result of birth control pills and it should be covered.  My religious liberty comes into to play.  I am being discriminated against!  All forms of birth control should be covered or none at all!  How many Natural Family Planning families are out there that have this same problem?  Would love to hear from you. 

Re-editing do to some comments.  Natural Family Planning - the Creighton method this is how it works.  It doesn't tell you when your period ends (how silly).  It tells you when the best days are to conceived if you want a baby and the days not to have sex if you don't want a baby.  You sit down with a nurse and they give you instructions on the method.  By using this method, I found out that I had fertility problems.  Which this methods help to diagnose. I have been diagnosed with ovarian dysfunction.

I simplified the method too much.  This is complicated and can't be done on an app!  The nurse teaches you how to identify your sensation after you wipe.  the charting has about 10 different ways you can chart.  They use soft - s for sensation, o- obersvation - ft - for finger test.  You can have peak type mucus or non-peak type mucus.  If you have mucus you are fertile.  The charting is harder for people with abnormal cycles and for menapausal women.  Sometimes you can't read your observations correctly. It is not as easy as some of you are trying to make it out to be.

People keep posting they haven't ever had to pay.  You do, you just don't know about it.  You have to have your employer buy a more expensive plan.  I am quoting my insurance company. As far as insurance goes, yes depending on your insurance sometimes it is covered.  Mine used to be. The basic first tier insurance that your company chooses to save money only covers pills, IUD, patches. If you want this kind of coverage, your company has to pay a higher premium and go to the next tier.  This is what I am saying that is unfair.  All forms of birth control should be on the basic first tier and covered.

I am speaking to politicans about this and tyring to see how many women are having this problem.  In the St. Louis area there are 30% of women.  The other 70% that are covered should not have to pay a higher premium for this either. I am doing this as research.  The NFP office is trying to change the laws on this. The government assigns the Revenue billing code.  That code is what is preventing my coverage.  I have no control on that code and neither do the doctors.

This site I thought, was for other moms to help one another.  Not bash them.  I don't get the belittling.  Just because I think something you wrote is dumb and you are misinformed I would never come out and say that.

by on Oct. 13, 2012 at 10:13 PM
Replies (31-40):
rfurlongg
by on Oct. 14, 2012 at 12:28 PM


Quoting blessingsofmany:

I would like to see NFP covered.  Just like birth control pills. I should not have to pay a higher premium to have the coverage.  I don't know how to get more specific than that.

If you carry insurance that covers a dr's vist, your insurance cover the education needed to successfully use NFP. That is easily covered in one drs office visit and can be done easily and quickly during a well visit.

blessingsofmany
by Member on Oct. 14, 2012 at 12:31 PM

Ok.  Gottcha ya.  The service is not covered because it is coded as education.  I would be happy to pay a co-pay.  They will not even cover anything to due a medical coding issue.  They will not pay for me to meet with my nurse for instruction.  They are telling me the only education they will cover is for a diabetic.  Again, the frustration lies that you have to pay a higher premium to get coverage.  This method should be covered just like the pill.

ShadowLark
by Bronze Member on Oct. 14, 2012 at 12:36 PM
Ok, well then yeah, that is WRONG! And diabetics aren't the only ones who need education. What about blood thinners or thyroid meds or anticonvulsants or antipsychotics? ALL require proper education!
Sounds like you just need WAY better insurance!


Quoting blessingsofmany:

Ok.  Gottcha ya.  The service is not covered because it is coded as education.  I would be happy to pay a co-pay.  They will not even cover anything to do a medical coding issue.  They will not pay for me to meet with my nurse for instruction.  They are telling me the only education they will cover is for a diabetic.  Again, the frustration lies that you have to pay a higher premium to get coverage.  This method should be covered just like the pill.


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blessingsofmany
by Member on Oct. 14, 2012 at 12:37 PM

Then why do they send me to a special Naturaly Family Planning office?  I can meet with my nurse for a hour or 30 min.  I don't know if it just because of where we live that things are done this way.  I had a problem and at my well visit the doctor said I need to go see a NFP nurse.  This is all a medical coding problem.  That's why the politicans are getting involved.

mikiemom
by Ruby Member on Oct. 14, 2012 at 12:37 PM

because that is not birthcontrol lol - how many kids do you  have?

rfurlongg
by on Oct. 14, 2012 at 12:38 PM
1 mom liked this


Quoting blessingsofmany:

Ok.  Gottcha ya.  The service is not covered because it is coded as education.  I would be happy to pay a co-pay.  They will not even cover anything to do a medical coding issue.  They will not pay for me to meet with my nurse for instruction.  They are telling me the only education they will cover is for a diabetic.  Again, the frustration lies that you have to pay a higher premium to get coverage.  This method should be covered just like the pill.

To get the px for the pill you must visit (ethically)your dr once every 12mo for a refillabel px label. This is true of any medication requiring a px.Generally the px for the pill, and most other regular medication, is filled at a well visit. Schedule a well visit and while there ask about NFP. It will be billed as a 'well visit.' 

  

blessingsofmany
by Member on Oct. 14, 2012 at 12:39 PM

 

Quoting lga1965:

 I think the Op is being sarcastic.

Nobody is that dumb.

This is a joke.

Re-editing do to some comments. Natural Family Planning - the Creighton method this is how it works. It doesn't tell you when your period ends (how silly). It tells you when the best days are to conceived if you want a baby and the days not to have sex if you don't want a baby. You sit down with a nurse and they give you instructions on the method. By using this method, I found out that I had fertility problems. Which this methods help to diagnose. I have been diagnosed with ovarian dysfunction.

As far as insurance goes, yes depending on your insurance sometimes it is covered. Mine used to be. The basic first tier insurance that your company chooses to save money only covers pills, IUD, patches. If you want this kind of coverage, your company has to pay a higher premium and go to the next tier. This is what I am saying that is unfair. All forms of birth control should be on the basic first tier and covered.

I am speaking to politicans about this and tyring to see how many women are having this problem. In the St. Louis area there are 30% of women. The other 70% should not have to pay a higher premium for this either. I am doing this as research.

This site I thought, was for other moms to help one another. Not bash them. I don't get the belittling. Just because I think something you wrote is dumb and you are misinformed I would never come out and say that.

 

rfurlongg
by on Oct. 14, 2012 at 12:40 PM

We use NFP and we have the 3 we planned; ages 8, 6, and 3. For certain people if used correctly it works well. However, it does not require a px (the 'covered' part) like the pill, iud, etc)

Quoting mikiemom:

because that is not birthcontrol lol - how many kids do you  have?


blessingsofmany
by Member on Oct. 14, 2012 at 12:43 PM


Quoting AlekD:

Some hospitals and other health centers offer nfp classes which can be very helpful in order to make sure you have as accurate of information as possible so that the method will be as effective as possible. Maybe she means the cost of the classes aren't covered.


That sucks if its true. Nfp is a great option for birth control. 100 percent natural, as effective as pumping your body full of chemicles or putting a barrier between you and your partner, and respects the dignity of womanhood and fertility.

The cost of meeting with the nurse is not covered.  Which is what you are referring to as a class.

ShadowLark
by Bronze Member on Oct. 14, 2012 at 12:45 PM
That would work!


Quoting rfurlongg:


Quoting blessingsofmany:

Ok.  Gottcha ya.  The service is not covered because it is coded as education.  I would be happy to pay a co-pay.  They will not even cover anything to do a medical coding issue.  They will not pay for me to meet with my nurse for instruction.  They are telling me the only education they will cover is for a diabetic.  Again, the frustration lies that you have to pay a higher premium to get coverage.  This method should be covered just like the pill.

To get the px for the pill you must visit (ethically)your dr once every 12mo for a refillabel px label. This is true of any medication requiring a px.Generally the px for the pill, and most other regular medication, is filled at a well visit. Schedule a well visit and while there ask about NFP. It will be billed as a 'well visit.' 

  


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