Friday, April 10, 2015

Finally something goes our way!

Through our journey to expand our family nothing has come easy. Insurance doesn't cover any infertility so we are in over $30,000 for that. Then insurance didn't cover the genetic testing on William. They also sent a denial letter when we did a preauthorization for our genetic testing. BUT when we got that letter it states that genetic testing is only covered in fetal tissue. But yet it wasn't when they denied it 6 months prior. Well I contacted the lab first and the lady was super helpful and gave me codes I could include in an appeal and said she thought an appeal would be a good idea because all they could do is tell me no that particular test wasn't covered. She said the test they run on fetal tissue is more complicated then the test they run to see if we are carriers of something genetic and for that reason insurance doesn't usually cover that particular testing. Well I filed the claim and got the decision today. THEY ARE ADJUSTING TO COVER THE TESTING! This was a $2000 charge we had to pay because they didn't. So this amount can now go towards our testing (which for some reason we haven't been billed for yet). I am over the moon excited that something went our way. And thanking The Lord for this! 

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