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Insurance coverage and birth control - Mirena IUD?


I just found out that my insurance will not cover my IUD that I got a month ago. I plan on appealing it. I've researched alot on claiming that it's discrimination. Is there any other points that I should address to presuade the company to pay for it. I can't pay $700 right now. SO I am pulling out anything I can.

You need to explain to them why it was medically necessary. They aren't required to pay for elective procedures or medical equipment. I can almost assure you that if you are having this problem, they have dealt with it many more times before - and won.

It is always best to check with you insurer before having a procedure. You may have more luck going after the doctor's office.

Why did you need it?
My insurance only covers my birth control because I have three week long periods without it.
If you are totally healthy, unless your insurance says otherwise, there is no reason insurance would cover it.

i have healthnet, mine was covered

Ain't gonna happen. Sorry.

Check your policy. Most likely, it contains a specific benefit exclusion stating that IUDs will not be covered for any reason.

If there's a benefit exclusion written into your contract for something, then you don't have coverage for it...for any reason. Doesn't matter what the reason is that you want/need it. An insurance policy is a contract for the services spelled out in the contract, and unfortunately your contract doesn't include Mirena.

I'm a fan of Mirena - had it myself for awhile. But don't get your hopes up about getting coverage. Sorry.

My own experience w/getting coverage for Mirena is a little bizarre. My insurance policy at the time covered getting Mirena. However, I had different insurance when I had the Mirena removed, and that policy didn't cover IUDs. So, I had to pay for the removal out of my own pocket...a little over $400. (A policy that doesn't cover IUDs generally doesn't cover removal of them either, unless there is a medical emergency.)

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