First of all, I am thrilled and so excited for EB at IVF 40+ Path to Parenthood who had an amazing transfer experience today, and was able to freeze eleven embies to boot! EB has been through as much as anyone, and I hope with all my might that her dreams are about to come true.
Second, I've had a turn of good fortune too.
Those of you who have followed me for a while may remember the dreaded OMC. The Outside Monitoring Clinic. Since my clinic is located so far away from where I live, the OMC (a local IF clinic) performed my b/w and u/s's. They charged me non-contracted rates (read: expensive) for their services, plus a $125 per visit "monitoring fee." They refused to submit anything to my insurance and balked when I submitted the claims myself.
Their position was that since I wasn't "their" patient, they had the right to charge me full price for everything.
Ultimately, after hundreds of phone calls, and fantastic people at my insurance company who went the extra mile on my behalf, the insurance company agreed with ME. All of my b/w and u/s's should have been covered, and all I should have paid was a $25 co-pay per visit. I was not entitled to get back the monitoring fees (amounting to another $1,000), but hey, I wasn't about to be greedy.
I collected my insurance coverage letters, and wrote a nice, professional, stern, lawyerly letter to the OMC, attaching the coverage letters, showing them the math, and telling them, in no uncertain terms, that I expected them to immediately send me a check in the amount of $1,790.
ONE THOUSAND SEVEN HUNDRED NINETY DOLLARS!
The check arrived in the mail two days ago.
Holy crap. I won.
3 months ago