IVF Insurance Billing - Bundled/flat rate service fee?
Has anyone ever had to deal with their IVF cycle being billed to insurance as a "bundle?"..meaning they bill as a flat rate to the insurance company? My provider says they are required to bill a $10,500 flat fee for the full IVF cycle INCLUDING labs and monitoring. I have a $10,000 infertility benefit limit on my insurance so this is a problem because my insurance says normally the labs and monitoring (about $4,000 worth) would be covered under my regular medical coverage, but now it's being applied to my infertility benefit, leaving me with a much bigger out of pocket cost.
I'm already midway through my cycle and just found this out and found out also that NY State is implementing a law that requires my insurance to cover 3 cycles in full starting Jan 1 ...bummed I didn't find out about this earlier, otherwise I would have waited!
Wondering if anyone has dealt with the flat fee billing and IVF limits and has successfully been able to work around it?
Achieve your health goals from period to parenting.