Services – Infertility Insurance Consulting

All the information needed to effectively communicate in hopes of gaining insurance benefits for infertility, including IVF, is found within our website.  However, we understand, not everyone has the time or energy to manage their advocacy efforts.  Infertility Insurance Consulting is a service provided to those who would like additional assistance in their efforts to gain insurance coverage for infertility treatment.

What’s included:

  • Initial 20 minute conversation to evaluate your needs
    • Develop unique strategies on how to communicate effectively with decision-makers in the government, insurance industry, and business employers
  • Access to online Step-by-step instructions detailing how to:
    • Communicate effectively with your legislative representatives
    • Pursue insurance appeals
    • Discuss options with your employer
    • Facts and resources to supplement communication with policymakers
  • Tips to help ensure success with financial applications
  • Fee for services: FREE

Consulting

  • Evaluation of history and financial need
  • review financial options
  • identify next best steps (insurance appeal, requesting predetermination of infertility benefits, etc.)
  • brainstorm an effective communication strategy(ies)
  • research to support conversation(s) with policymaker(s)
  • receive summarized plan of action to guide through the communication process
  • personalized follow-up
  • Fertility Within Reach reviews letter to policymaker
  • you receive feedback
  • Fee for these services is $100 per hour



*Prior to our conversation for either the free or paid consultation, please take the time to fill out our patient questionnaire. The less time spent discussing these basics, the more time we’ll have for you!

New Consultation Questionnaire

Once we have received your information, we can connect with you to schedule your consultation.

**For those patients with financial hardship, we understand.  Please contact Fertility Within Reach to learn about our sliding scale fee-for-service policy.

Gift Certificates
If you’re looking for a gift, why not the gift they really want…someone to help them figure out how to get things moving in the direction of building a family. Or if your family/friends ever ask what they can do to help, a FWR Gift Certificate is one option to help you afford the treatment you need to build your family.  Payment can be made via PayPal (top left corner of this webpage).

FWR $100 Gift Certificate

 

Testimonials

I will never forget you. You are a Godsend. The insurance company covered all my costs for the cycle in dispute from last year. – Tasha L. in Queens, NY  

 

“Fertility Within Reach provided me with incredible guidance regarding the IVF insurance appeal process. I was not able to find this level of expertise anywhere else in my search for assistance. The staff offered a caring, knowledgeable and detailed approach, and they even followed up with additional ideas to help me along the way. I feel so lucky to have found the support of this wonderful organization, and I recommend the staff with 110% confidence.”  – Sara in Newton, MA

 

“Like more and more Americans these days, my husband and I got married relatively late in life (he was 44, I was 39).  Given our ages, we were eager to start a family and never really thought it would be much of a problem.  But after several months of trying unsuccessfully to get pregnant, we decided to get tested. We were saddened to learn that my husband suffers from low sperm motility but our doctor explained that with treatment we could still reasonably expect to get pregnant and have a healthy baby.

We are fortunate to have a medical insurance policy that explicitly covers male factor infertility.  After gaining pre-authorization from the insurance company we began our treatment, confidently expecting our costs to be paid for. To our surprise, after we completed our first round of treatment – and accrued thousands of dollars worth of medical bills – the insurance company denied our claims.

We appealed this contradictory and inexplicable decision through the company’s usual channels and even prevailed upon our doctor to submit a letter on our behalf and participate in a peer-to-peer review with a medical representative of the insurance company – all to no avail. Increasingly desperate, we sought legal counsel and were directed to Fertility Within Reach. Fighting a bureaucratic goliath like an insurance company can be can be a frustrating and demoralizing endeavor but Fertility Within Reach gave us the strength and guidance we needed. They helped us realize that we had powerful allies on our side and deftly led us through the process of getting the government to investigate our claim.  Within 10 days of filing a complaint with the state, the insurance company reversed its decision and is now paying our medical expenses.

Without Fertility Within Reach, we would still be battling our insurance company which would create additional stress in our dream to start a family. With their help, we’re back on the path toward achieving one of our most important life goals.”  Dan and Melissa, New York

 

“My wife and I both have vivid memories of being told that I was infertile.  It was so matter of fact when the nurse on the other end of the line said “no sperm” — we were so emotionally unprepared for that answer.   We were not the couple that knew ahead of time that we would have challenges with becoming pregnant, that said, looking back, maybe we should have been.  Up until the age of 3 I was under the care of multiple physicians and went through several surgeries to correct a congenital defect.  Since then, and several surgeries later, we found out the hard way that most likely damage from corrective procedures had been done to my reproductive system and had rendered me obstructed.  I had since college had pain in that region, but I never connected the two until I began working with Dr. Turek from the Turek Clinic in San Francisco.  I self-referred to Dr. Turek’s care after he was able to fluently speak to the nature of my congenital defect (which was rare) and how it could possibly be impacting my fertility.  After a visit to his clinic last November, I knew that I had been placed in the best care available and that my chances of success through corrective surgery would be high.

I mention all of this because the next step would be a challenge that would require much direction, guidance and faith.  Our goals were to do everything possible, within reason, to survive this emotionally and financially.  My health insurance plan had an infertility clause built into it – stating that beyond the diagnosis of infertility, we would not be covered for any corrective measures.  It was then that we began looking for resources on how to guide us through a lengthy pre-determination and expected appeals process with our health insurance.  Through an online search, we were led to the “Fertility Within Reach” organization, who’s mission to “empower infertile individuals to advocate in order to build their family” was exactly what we needed at that time.  We were facing a situation where denial from my insurance was a foregone conclusion unless we carefully presented our case.  It was then that we met Davina, who quickly responded to an email that I sent one night not knowing what to expect, and after her response, I knew immediately that we had been placed in great hands that were both knowledgeable and caring.  She took her time to carefully help us hand craft the cover letter to my insurance, and guide us through what to present to them as evidence that our case needed to be approved for coverage. 

I am pleased to say that my wife and I have received a letter of approval from my health insurance (with no appeal), and this would not have been possible without the careful guidance and direction from Davina at Fertility Within Reach.  I have intentionally used the word “led” in this testimonial as an opportunity to say that both Davina and Dr. Turek have been an answer to prayer.  We do not yet know how this story ends, the corrective surgery to address both the infertility and pain is being scheduled for the end of May, however, we will continue to have faith knowing that God has brought amazing individuals into our lives to show that we are not alone. 

Thank You to Fertility Within Reach, and specifically Davina, for being so willing to be part of this with us.  We are tremendously grateful and highly recommend their services to any couple who deals with the unique and personal challenge of infertility.”           –Matthew & Heather Phillips

 

 

 

 

Comments (1)

  • Sophia

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    Hello!
    I wanted to check that you had received my New Consultant Questionnaire?

    Reply

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