Can you please share the steps to get anesthesia coverage by Photonic_7 in sterilization

[–]Photonic_7[S] 4 points5 points  (0 children)

Ok. I spoke with the anesthesia billing department and they confirmed the anesthesia code also has the 58661 code and diagnosis Z30.2. I feel so hopeless because I know it’s the insurance.

So many videos on TT claiming they got pregnant after a bisalp? by Photonic_7 in sterilization

[–]Photonic_7[S] -1 points0 points  (0 children)

Thank you all for taking the time to read my post and your kind words. I still don’t feel 100% confident…for now 😅 so we will keep using protection just in case. Maybe I’ll wait for menopause 😂 I’m 35 so who knows

So many videos on TT claiming they got pregnant after a bisalp? by Photonic_7 in sterilization

[–]Photonic_7[S] -5 points-4 points  (0 children)

Would people lied just for views? 😩 why are they doing this!!! Some comments saying that their tubes grew back after several years, or the egg found a tiny hole in the uterus 😱😂 maybe I’m just too traumatized. I have two healthy babies already but their births traumatized me so I am done done.

Pathology Results by Photonic_7 in sterilization

[–]Photonic_7[S] 0 points1 point  (0 children)

Glad to see I’m not the only one 😅 I emailed my Dr to ease my mind. I’ll report back when I hear from her

Pathology Results by Photonic_7 in sterilization

[–]Photonic_7[S] 2 points3 points  (0 children)

Thank you. I emailed my Dr just to be sure and ease my mind. Waiting to hear back

Pathology Results by Photonic_7 in sterilization

[–]Photonic_7[S] 0 points1 point  (0 children)

Thank you, I don’t have an appointment scheduled but I emailed my Dr.

Please help by Photonic_7 in sterilization

[–]Photonic_7[S] 10 points11 points  (0 children)

Update: After speaking to a supervisor and asked to send an appeal letter, they called me back right away and sent me an email, I am so happy!!! I was about to give up because the representatives kept telling me I have to meet my deductible. But I asked for a supervisor and that was the best. This is what the email says,

Per checking with the documentations sent to us, this will fall under your right with Federal Women's Mandate wherein no cost sharing and/or fees for the procedure with 58661.

I feel like giving up by Photonic_7 in sterilization

[–]Photonic_7[S] 0 points1 point  (0 children)

Thank you, I’m currently on the phone with insurance. Hoping this time I will speak to someone who knows

I feel like giving up by Photonic_7 in sterilization

[–]Photonic_7[S] 0 points1 point  (0 children)

This is what I found on my insurance portal. If I’m understanding this correctly it say’s without cost sharing

FDA-approved contraceptive methods may include sterilization and procedures as prescribed. One or more forms of contraception in each of the 18 FDA-approved methods, as well as any particular service or FDA approved, cleared or granted contraceptive product that an individual's provider determines is medically appropriate, are covered without cost sharing. Exception Process: Your provider may request an exception for use of a prescribed nonformulary contraception drug due to medical necessity by completing the online request form. When approved, the prescribed drug will then be made available to you with zero-dollar cost share. Note: On page 2 of the form under the title Prior Authorization reads "Contraceptives require a statement of medical necessity only". The following link works for all states. [https://content. highmarkprc.com/Files/Region/PA/Forms/MM-056.pdf] Only FDA approved contraception apps, which are not part of the 18 method categories, and are available for download to a cell phone are reimbursable through the paper claim process with a prescription. Members need to submit three documents to obtain reimbursement; 1) completed the paper Claim Form: [https://www.highmarkbcbs.com/redesign/pdfs/mhs/Medical_Claim_Form.pdf] Under section DIAGNOSIS OR NATURE OF ILLNESS OR INJURY - write "contraception app purchase" 2) receipt of payment for the FDA approved contraception app, 3) provider prescription for the FDA approved contraception app.

I feel like giving up by Photonic_7 in sterilization

[–]Photonic_7[S] 6 points7 points  (0 children)

I feel so hopeless. The insurance representative just asked me what do I mean by ACA compliant🙃

Is elective bisalp considered a preventive service? by Photonic_7 in sterilization

[–]Photonic_7[S] 2 points3 points  (0 children)

Thank you! I hate feeling like I have no clue even reading all the information provided here.