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Finding Financial Assistance For Tubal Reversal

Now that you have decided you want your tubal ligation reversal surgery as the means to having a baby, you have to figure out how to pay for it. Seeking financial assistance for tubal reversal and finding out if you qualify is usually the first thing you try to do.

Usually the first thing you will look at is your own health insurance. After all that's why you keep paying for it. But it might not be as easy as one could hope. You will need to get the booklet the insurance company gave you, or your spouse if the insurance was through him. Do a careful reading of the exclusions that they disallow, especially with surgical procedures.

A lot of insurance companies will consider this form of surgery to be elective. Putting it simply "tubal ligation is a procedure which you chose to have the carried out" and therefore they will be unwilling to cover the costs for you to have the procedure reversed.

Yet there are some companies that once you have read through the policy documentation you will find that they cover some of the procedures involved but not all of them. These companies may well cover the costs for the tests and anesthesia but not for the actual operation itself.

Although it really is a good idea that you know what is in your insurance company's documentation, to be sure that things haven't changed, you might want to get the story straight from the horse's mouth, so to speak. Call the doctor's office and get all the codes that would be assigned to the procedure. You want all the diagnostic codes as well. You should get everything that would be billed to an insurance company. Give these to your insurance company and find out for sure what they will cover and what they will not cover.

Finding out you are fortunate enough to have an insurance that might cover this tubal ligation reversal surgery is good. Keep in mind that there may still be other factors that weigh in on whether you will get coverage or not.

Knowing whether or not you will have the procedure done in the state where you live is something some insurance companies will want to know. Insurance companies have to meet certain legal requirements and fertility procedures could come under these requirements. But just because tubal reversal could be considered a fertility procedure by you still does not mean it is necessarily covered by your insurance company.

Just as in most medical procedures, insurance companies will most likely only pay after the surgery, and maybe even the post op visits, are complete. As a cya, this could mean your surgeon will want written confirmation that the insurance company will indeed provide financial assistance for tubal reversal surgery before he proceeds. Not a bad idea at all as things could change.

By: Sandra Wilson

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