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#51 hazypeanut

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Posted 18 November 2010 - 11:22 AM

Iíve just lucked into finding this site & I thank you for your wealth of information. I started seeing a DR @ the Ottawa Fertility Center & had a discussion with my DR just yesterday about IVF. He actually suggested I contact Sunlife to see if I could get coverage for the treatment on top of the drugs. Both my hubby & I are employed with the Federal Government, so have 100% of the drugs covered already. Do you know if anyone in the Province of ON has ever been reimbursed these treatments?
Iím willing to fight Sunlife as well, I was wondering if I could also have a copy of the letter you send them?




Hubby works for the Govt, and we have sunlife, they covered 80% of our meds, but when we sent in the reciept for the IVF cycle, they said no..there is a forum on here where there r a few of us who have sent in letters and receipts, apparently its under question and review right now.. so we will see.. we rnt giving up either. getting an appeal letter ready. good luck!!

1997 July.. DD born, from a previous relationship. Born on her due date.

2006 Oct, Married my best friend.
2007 Oct, Journey to conception starts( although in the 8 yrs we have been together we have never used BC)
2007 July 14th Hubby leaves for Afghanistan for 2 months.
2007 Oct, hubby leaves again for Afghanistan
2008 Jan 1st, Hubby returns
2008 Jan, blocked tube on left and removal of baseball sized cyst on rt ovary
2008 April started on clomid for 6 months
Referred to Dr. Ried in Kingston, more tests show no tube blockage. But does show stage 4 endo.
IUI # 1 BFN
IUI # 2 BFN
3rd cycle cancelled due to not responding to meds very well.
Referred to Dr. Min at the OFC

IVF #1

June 1st consent signing
Baseline ultrasound revealed 16 follicles, and FSH of 7! previous day 3 had shown 9 and high estrogen levels.
June 29th 2010 Education session, done...hurry up day one!
Aug 10th Called in Day #1
Aug 15th-sept 4th Start BCP
Aug 25th started suprefact
Sept 10 bw
Sept 11 Started puregon 350 u
Sept 15th first us.
Sept 18th second us and bw.. a bunch of small follicles.. and 4 measurable ones cycle maybe cancelled.
Sept 19th 3rd ultrasound ... 18 follicles and 8! good sized follicles. Cycle is back on..and 2 surprise follicles on the right!!!
Sept 20th us and bw.
Sept 21 bw and us DAY 11
Sept 22 bw and us.. ready for trigger tonight! 8 good follies, one at 20 the rest following suit.
Sept 24 ER..7 follicles harvested, 6 eggs retrieved.
Sept 25 call from lab, 4 eggs Mature, 3 eggs fertilized. Can't believe we have made it this far!
We are in love with our embryos!! GROW EMBIES GROW!!!!!!
Sept 27 Transfered 2 sweet little embryos.. one 7 cell the other an 8, on day 3. Sadly none to freeze
Oct 12 is BETA day!! im PUPO until then! Still waiting on blood results..
Couldnt take it any more and POAS..
BETA #1 700.
Ultrasound Oct 27th.
BFP!!!!!!!! OMG! ))
Nov 26th First OB appt. Couldnt find heartbeat, still early? 86.5 kg.
Dec 2nd bought doppler heard heartbeat and fell in love again.
Dec 16th ultrasound.
Dec 22nd 2nd OB appt. Heard heartbeat, such music :)88.5 kg.
Jan 21st 3rd OB appt. 89.2 kg
Feb 9th anatomy scan and sex of baby!!!
ITS A GIRL!!! YAY!
Feb 23 OB appt.. 91.1 kg Placenta completely covering cervix.
Mar 25 OB appt.. 94.3 kg
Apr 06 OB appt..
Apr 12 U/S to check placenta and cervix.
May 3rd OB talked about having C section no later than 37 weeks if placenta in same position.. oh my! thats 3 weeks!
May 6th U/S to check placenta..tech says its the same as they have been telling the doc all along..i assume its still covering.. will find out wed at OB appt.
Scheduled C section May 24th, 2011

Baby girl Madeleine was born weighing 4 lbs 11 oz.

 

IN THE PROCESS OF STARTING ANOTHER FRESH CYCLE....YAY!!

Second fresh IVF failed. :(


#52 Fromwell

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Posted 01 December 2010 - 07:39 AM

Just to give you ladies an update. We got a call from sunlife (DH called to enquire about where things stood with our IVF claim)

We were told that it is under review, however the review itself has not started yet. It will most likely be another 3-6 months before a decision is made on wether they will in fact be covering IVF.

Me 29 DH 30
Dx: DOR

IUI#1 - Jan 2010 - chemical
IUI#2 - May 2010 - BFN
IUI#3 - June 2010 - BFN

IVF/ICSI #1 - August 2010 - Ectopic
IVF/ICSI #2 - Jan 2011 - BFN

IVF/ICSI #3 - April 2011
May 18 - BFP HPT
Beta 10dp5dt - 354
U/S #1 5w0d - showed one sac measuring 5w1d and right where it should be!
U/S #2 8w0d - it's twins! guess one was hiding last time. Baby A - 8w2d, HB 176 Baby B 8w3d, HB 176
U/S #3 10w6d - Baby A no longer has a heartbeat...devasted. Thankfully the other baby is measuring 11w0d HB 171
U/S #4 12w6d - surviving baby is growing well HB 168
It's a girl!!
Diagnosed with severe oligohydramnios at 29 weeks and put on bedrest. Cause unknown.
Sara arrived 5 weeks early via scheduled c-section Dec 22nd weighing 6lbs and was 17.75 inches long!

Surprise miracle BFP - Aug 29, 2012. EDD May 8th 2013 Perfect little girl born May 1, 2013 7lbs 11oz, 19 inches long :)


#53 Sandibeach

Sandibeach

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  • Location:Ottawa
  • Dx:Unexplained
  • My Clinic:Mtl Fert / Ottawa Fert / Hannam Fert

Posted 01 December 2010 - 12:56 PM

Thanks for the update. DId they tell you if infact it is covered, that it will be retroactive to your claim? It would make sense that it would be. Let's hope they do cover it!!
ME-39 DH-39
TTC 9 years
Unexplained infertility / mild male factor
6 Cycles Clomid - BFN
1 Laproscopy
2 IUI's- BFN
1st IVF - April 2008 - M/C @ 6 wks - OFC
1st Beta 25, 2nd Beta 87, 3rd Beta 257 BFP
2nd IVF - January 2y009 - No transfer - OFC
ER 23 eggs, 20 mature, 17 fertilized - TOTAL EPIC FAILURE - ALL 17 Embies arrested in development by Day 5
3rd IVF - June 2009 - This is it! - New Clinic - Montreal Fertility Centre
ER: June 8th - 16 fertilized eggs (no frosties)
ET: June 11th (2 excellent 8cell) & 13th (1 perfect blast)
HPT++++
June 24 1st Beta: 312 BFP
June 26 2nd Beta: 682
July 13 US: Singleton HB 130
July 25 US: HB 175 saw fetus moving
Aug 8 US: HB 165 all perfect
Aug 17 US: HB 157 all perfect
Oct 5 US: It's a BOY!!!!
Born March 3, 2010 - Julien Tristan
May 2011 - Natural BFP - Ectopic
Now trying the old fashion way - Bust
4th IVF - Dec 2011 - Back to OFC
Jan 16 - ER 11 eggs - 3 mature, 2 fertilized (OFC f**ked up again - triggered me too soon)
Jan 18 - Emergency Day 2 ET - 2 4 cell embryo's transferred
Feb 2 - Beta - BFN
5th & Final IVF - July 2012 - 3rd opinion - Hannam Fertility
Satelitte monitoring at OFC
ER - July 24
ET - July 27
Beta - Aug 10
Transferred 3 perfect embryos - 1 blast frozen
Aug 6 - HPT ++++++
Aug 8th Beta - 225 BFP
Aug 10th Beta - 445
Aug 27th US ~ 1 perfect little bean HB 120
Sept 10th US - all good HB 162
Due Date: April 16th, 2013 It's a GIRL!!!
Born April 9th, 2013 - Amelia Danica

#54 Onguard497

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  • Location:Toronto
  • Dx:PCOS
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Posted 20 December 2010 - 08:22 AM

Thank you so much for posting this information. Sunlife doesn't make it easy to get information in order to financially plan. Thank you again!

#55 ---

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Posted 20 December 2010 - 09:28 PM

HI Ladies, I have phsp with the FEDS as well....Does anyone know if there is a limit on IVF meds ? I just received my pshp cards and am doing my third FET ( I've done 4 fresh cycles as well) adn suprefact was not covered ? Everything else with the new pshp card has been thus far (bcp etc.) so I am wondering what the problem might be. ANyone ever inquire of there is a limit on the number of cycles for IVF drugs ?

Thanks
Stacy

#56 snowflake_888

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Posted 20 December 2010 - 09:51 PM

HI Ladies, I have phsp with the FEDS as well....Does anyone know if there is a limit on IVF meds ? I just received my pshp cards and am doing my third FET ( I've done 4 fresh cycles as well) adn suprefact was not covered ? Everything else with the new pshp card has been thus far (bcp etc.) so I am wondering what the problem might be. ANyone ever inquire of there is a limit on the number of cycles for IVF drugs ?

Thanks
Stacy


Hi Stacy,

I phoned once and asked whether there was a limit and they said no - that as long as the drugs were included on their list of approved meds, they would be covered - no limits. They did say, however, that not all medications would necessarily be covered (I can't remember which ones - I had a list). You should call and ask about specific meds. My last cycle included Gonal, Cetrotide and Prometrium and all were covered, but I was never on Suprefact.

Me: 39 Husband: 38
My Blog
DX: initially unexplained - discovered left hydrosalpinx - tube removed Sept 2011
TTC: 6 years
Miscarriage - June 2009 - natural pregnancy
IUI #1- December 2009 BFN
IUI#2 - February 2010 BFN
IVF#1 - May 2010
18 eggs retrieved
10 fertilized
Transferred 2 3-day embryos
BFN
3 frozen blasts
FET#1 - Oct 2010
Transferred 2 5-day blasts Oct 5, 2010
BFN - Oct 18, 2010
IVF#2 - Dec 2010
12 eggs retrieved
5 immature & 7 fertilized abnormally - ummm...confused
Fresh cycle no transfer - transferred 1 6-day blast from May cycle - BFN - Dec 24, 2010
Switched Clinics for IVF#3 - CCRM
March 10, 2011 - Phone consultation with new RE
March 24, 2011 - ODWU at CCRM (one-day work up)
April 18, 2011 - Day 3 Testing
May 2, 2011 - Follow-up phone call with RE
May 9, 2011 - Endometrial biopsy to test Beta-3 Integrin
May 12, 2011 - CD 1
May 14, 2011 - Start BCP
May 24, 2011 - HSG #2
June 16, 2011 - ER - 29 eggs retrieved
22 mature and 14 fertilized normally
8 made it to blastocyst - 4 biopsied for Comprehensive Chromosomal Screening (CCS)
1 genetically normal blastocyst

Sept 2011 - left tube removed due to hydrosalpinx

February 2012 - IVF#4 (second retrieval at CCRM) - two genetically normal blastocysts

July 25, 2012 - FET of two genetically normal blastocysts -BFP!!!


#57 snowflake_888

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Posted 20 December 2010 - 10:07 PM

HI Ladies, I have phsp with the FEDS as well....Does anyone know if there is a limit on IVF meds ? I just received my pshp cards and am doing my third FET ( I've done 4 fresh cycles as well) adn suprefact was not covered ? Everything else with the new pshp card has been thus far (bcp etc.) so I am wondering what the problem might be. ANyone ever inquire of there is a limit on the number of cycles for IVF drugs ?

Thanks
Stacy


Hi Stacy,

I phoned once and asked whether there was a limit and they said no - that as long as the drugs were included on their list of approved meds, they would be covered - no limits. They did say, however, that not all medications would necessarily be covered (I can't remember which ones - I had a list). You should call and ask about specific meds. My last cycle included Gonal, Cetrotide and Prometrium and all were covered, but I was never on Suprefact.


Stacy,

I just looked in my files and found my list of meds that I asked them about (this was a couple of years ago) and I have a note that Suprefact is NOT covered - my note says because it is not classified by them as a fertility med? All of the other ones I have listed are covered except Femara, which I have a note saying that prior authorization is required.

Hope this helps.

Me: 39 Husband: 38
My Blog
DX: initially unexplained - discovered left hydrosalpinx - tube removed Sept 2011
TTC: 6 years
Miscarriage - June 2009 - natural pregnancy
IUI #1- December 2009 BFN
IUI#2 - February 2010 BFN
IVF#1 - May 2010
18 eggs retrieved
10 fertilized
Transferred 2 3-day embryos
BFN
3 frozen blasts
FET#1 - Oct 2010
Transferred 2 5-day blasts Oct 5, 2010
BFN - Oct 18, 2010
IVF#2 - Dec 2010
12 eggs retrieved
5 immature & 7 fertilized abnormally - ummm...confused
Fresh cycle no transfer - transferred 1 6-day blast from May cycle - BFN - Dec 24, 2010
Switched Clinics for IVF#3 - CCRM
March 10, 2011 - Phone consultation with new RE
March 24, 2011 - ODWU at CCRM (one-day work up)
April 18, 2011 - Day 3 Testing
May 2, 2011 - Follow-up phone call with RE
May 9, 2011 - Endometrial biopsy to test Beta-3 Integrin
May 12, 2011 - CD 1
May 14, 2011 - Start BCP
May 24, 2011 - HSG #2
June 16, 2011 - ER - 29 eggs retrieved
22 mature and 14 fertilized normally
8 made it to blastocyst - 4 biopsied for Comprehensive Chromosomal Screening (CCS)
1 genetically normal blastocyst

Sept 2011 - left tube removed due to hydrosalpinx

February 2012 - IVF#4 (second retrieval at CCRM) - two genetically normal blastocysts

July 25, 2012 - FET of two genetically normal blastocysts -BFP!!!


#58 ---

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Posted 20 December 2010 - 10:16 PM

Wow I wasn't expecting such a quick response ! Thanks snowflake ! FYI I haev always been on Suprefact, I guess now with their new card 'system' they are catching things that they normally wouldn't perhaps...sigh. Glad the rest is unlimited though :)
Stacy

#59 Sandibeach

Sandibeach

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  • Dx:Unexplained
  • My Clinic:Mtl Fert / Ottawa Fert / Hannam Fert

Posted 21 December 2010 - 07:19 AM

I would send in the claim manually then. My superfact was covered as well... my clinic prescribed Burselin, which is the same thing... I also heard some didn't get coverage for clomid... I did 6 rounds and had full coverage as well. I think it's worth investigating more.
ME-39 DH-39
TTC 9 years
Unexplained infertility / mild male factor
6 Cycles Clomid - BFN
1 Laproscopy
2 IUI's- BFN
1st IVF - April 2008 - M/C @ 6 wks - OFC
1st Beta 25, 2nd Beta 87, 3rd Beta 257 BFP
2nd IVF - January 2y009 - No transfer - OFC
ER 23 eggs, 20 mature, 17 fertilized - TOTAL EPIC FAILURE - ALL 17 Embies arrested in development by Day 5
3rd IVF - June 2009 - This is it! - New Clinic - Montreal Fertility Centre
ER: June 8th - 16 fertilized eggs (no frosties)
ET: June 11th (2 excellent 8cell) & 13th (1 perfect blast)
HPT++++
June 24 1st Beta: 312 BFP
June 26 2nd Beta: 682
July 13 US: Singleton HB 130
July 25 US: HB 175 saw fetus moving
Aug 8 US: HB 165 all perfect
Aug 17 US: HB 157 all perfect
Oct 5 US: It's a BOY!!!!
Born March 3, 2010 - Julien Tristan
May 2011 - Natural BFP - Ectopic
Now trying the old fashion way - Bust
4th IVF - Dec 2011 - Back to OFC
Jan 16 - ER 11 eggs - 3 mature, 2 fertilized (OFC f**ked up again - triggered me too soon)
Jan 18 - Emergency Day 2 ET - 2 4 cell embryo's transferred
Feb 2 - Beta - BFN
5th & Final IVF - July 2012 - 3rd opinion - Hannam Fertility
Satelitte monitoring at OFC
ER - July 24
ET - July 27
Beta - Aug 10
Transferred 3 perfect embryos - 1 blast frozen
Aug 6 - HPT ++++++
Aug 8th Beta - 225 BFP
Aug 10th Beta - 445
Aug 27th US ~ 1 perfect little bean HB 120
Sept 10th US - all good HB 162
Due Date: April 16th, 2013 It's a GIRL!!!
Born April 9th, 2013 - Amelia Danica

#60 LBO

LBO
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  • My Clinic:Ottawa Fertility Clinic

Posted 21 December 2010 - 08:49 AM

Stacy, I never used the new card with suprefact but it was always covered for me. I guess you might be right thought that they're catching things. We found out that our clinic was charging us three times as much as it costs for the progesterone in oil and they would only cover a little bit. I'm going to ask them today why they are charging us so much. It's not like they don't charge us enough for the procedure.

#61 Doggymommy28

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Posted 22 December 2010 - 06:40 PM

Hi, Just an FYI but as someone who works for SLF, has fertility issues and has a husband who is employed by the Feds please continue to fight. I know from experience that with SLF the more you bitch and complain the more likely they are to take notice of you.
TTC since Aug/09

Aug/10 referral to RE
Sep/10 - Dec/10 multiple tests, HSG, sperm alaysis, blood work etc
Jan/11: Dx with MF infertity and DH referred for micro-tese
June/11: 0 sperm found with micro-tese
made decision to use donor sperm
made decisions re: donor
6 IUI's between July/11 and April/12 - all BFN's + 2 cancelled cycles

IVF:
May/12 patch protocol however cycle cancelled as clinic mis-timed drugs
June/12 patch protocol cycle cancelled due to crazy hormones
Waiting on CD1 (again) to now start suprafact IVF cycle - no AF, stupid hormones

July/12 hormones are normal again. RE suggests puregon straight away with no suprafact. Confirmed ER 28/July - my head is spinning from all these changes!
ET: 02/Aug - 1 embie tranferred
Early Beta 09/Aug - BFP 66 !!!!! Unfortunately also have OHSS but at this point I dont care so happy
Beta 13/Aug - 326
1 little gummi bear in there who is growing nicely and is 1 day ahead on dates
EDD: 19/April/13

#62 honeybee2

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Posted 23 December 2010 - 07:22 AM

I just paid for my meds two days ago and the injectable form of Suprefact was covered, as was everything else.
Me: 35 DH: 38
HSG showed mostly blocked tubes.
Opted not to do a laparoscopy and move straight to IVF.

IVF Dec -Jan 2010/11
Dec 23 - Started Suprefact injections
Dec 25 - Gonal F & Menopur
Jan 8 - ER (6 eggs: 4 mature, 3 fertilized)
Jan 11 - ET of two embryos (none to freeze)
Jan 27 - Beta - BFN

IVF#2 June-July 2011
July 2 - Suprefact injections
July 4 - Gonal F & Menopur
July 18 - ER (4 eggs: 3 mature, 1 fertilized)
July 21 - ET (1 embryo, 19/20)
Aug 5 - Beta - BFN

IVF#3 May 2012 (Hannam)
BCPs, Gonal F, Luveris, Cetrotide, Saizen
May 24 - ER (9 eggs: 7 mature, 7 fertilized)
May 29 - ET of 2 blasts (none to freeze)
June 12 - beta.493
June 14 - beta 1171
June 18 - beta 5223
July 4 - u/s shows one healthy babe, EDD Feb 13

#63 enviro61

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Posted 23 December 2010 - 10:29 AM

http://www.cbc.ca/he...2/ivf-scoc.html

Does anyone know how the new ruling will impact Sunlife coverage of IVF? Now that the feds are stepping back what impact will this have on Sunlife coverage for public servants?

#64 Sandibeach

Sandibeach

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  • Dx:Unexplained
  • My Clinic:Mtl Fert / Ottawa Fert / Hannam Fert

Posted 23 December 2010 - 02:53 PM

http://www.cbc.ca/health/story/2010/12/22/ivf-scoc.htmlDoes anyone know how the new ruling will impact Sunlife coverage of IVF? Now that the feds are stepping back what impact will this have on Sunlife coverage for public servants?


Not related - don't worry there.

I agree with Clovis, don't just take it. I wrote to sunlife, then wrote me back and I have a letter stating that all the drugs will be covered with no maximum amount. I was on progestrone oil for 3 months and never had an issue claiming it. I can't remember how much I paid for it, but it was average - the only thing Sunlife ever denied me with the cost of the syringe that OFC charge for seperately. At the MFC, they gave them to me free, so it was no issue.. but considering the cost of that is only a couple of dollars, who cares. Oh, and the milk of magnesium wasn't covered, but everything else to the penny - even OFC's high prices, all covered - so far 6 rounds of clomid, 2 IUI (using injectables), 3 IVF and all progestrone oil, prenatal vitamins, etc.
ME-39 DH-39
TTC 9 years
Unexplained infertility / mild male factor
6 Cycles Clomid - BFN
1 Laproscopy
2 IUI's- BFN
1st IVF - April 2008 - M/C @ 6 wks - OFC
1st Beta 25, 2nd Beta 87, 3rd Beta 257 BFP
2nd IVF - January 2y009 - No transfer - OFC
ER 23 eggs, 20 mature, 17 fertilized - TOTAL EPIC FAILURE - ALL 17 Embies arrested in development by Day 5
3rd IVF - June 2009 - This is it! - New Clinic - Montreal Fertility Centre
ER: June 8th - 16 fertilized eggs (no frosties)
ET: June 11th (2 excellent 8cell) & 13th (1 perfect blast)
HPT++++
June 24 1st Beta: 312 BFP
June 26 2nd Beta: 682
July 13 US: Singleton HB 130
July 25 US: HB 175 saw fetus moving
Aug 8 US: HB 165 all perfect
Aug 17 US: HB 157 all perfect
Oct 5 US: It's a BOY!!!!
Born March 3, 2010 - Julien Tristan
May 2011 - Natural BFP - Ectopic
Now trying the old fashion way - Bust
4th IVF - Dec 2011 - Back to OFC
Jan 16 - ER 11 eggs - 3 mature, 2 fertilized (OFC f**ked up again - triggered me too soon)
Jan 18 - Emergency Day 2 ET - 2 4 cell embryo's transferred
Feb 2 - Beta - BFN
5th & Final IVF - July 2012 - 3rd opinion - Hannam Fertility
Satelitte monitoring at OFC
ER - July 24
ET - July 27
Beta - Aug 10
Transferred 3 perfect embryos - 1 blast frozen
Aug 6 - HPT ++++++
Aug 8th Beta - 225 BFP
Aug 10th Beta - 445
Aug 27th US ~ 1 perfect little bean HB 120
Sept 10th US - all good HB 162
Due Date: April 16th, 2013 It's a GIRL!!!
Born April 9th, 2013 - Amelia Danica

#65 countingdown

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Posted 24 December 2010 - 07:39 AM

enviro61 - I don't think I'd worry about the ruling. Health care in Canada is a split jurisdiction between the feds and provinces. Health care delivery is typically the jurisdiction of the provinces and it sounds to me like the feds were actually overstepping their boundaries before this ruling. The new ruling delegates some authority to regulate to the provinces but maintains some control within federal jurisdiction. The way we're set up, the regulations should fall within the jurisdiction of the provinces, which is why Quebec and 3 other provinces have challenged. So I wouldn't interpret the feds backing off as not supporting IVF... it's the provinces that are pushing for more control. I think it could actually be a good thing.

I don't think this has anything to do with or will affect our sunlife coverage at all. According to sunlife, if it's covered in one province, it should be covered through the pshcp, so hopefully they will reach that decision! It makes sense because people often move for their federal jobs, so it wouldn't be fair to have someone move say from Quebec to Halifax or Ottawa etc... for their employment and then for them to lose their health benefits. I hope they will see it that way and decide that it's covered. I've about to cycle in January so I will definitely be keeping my receipts!

Good luck to all and happy holidays!

#66 LBO

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Posted 27 December 2010 - 07:11 AM

Sandibeach - did you get progesterone in oil from OFC? SunLife won't cover most of mine because they said OFC is charging way more than it costs. We checked with the pharmacist and she claims she gets a deal.

#67 sweetdreams

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Posted 27 December 2010 - 12:27 PM

Ladybug: You should fight it with Sunlife. They either used the wrong DIN number or are thinking of something else. I was on PIO shots for 3 of my IVF cycles and it's about $60 or $70 a vial (can't remember exactly right now). If it comes to it, I would go and ask other pharmacies how much they charge for PIO based on the DIN number and get it in writing and submit it to Sunlife to "prove" that you were not overcharged (although you shouldn't have to do that).

#68 Sandibeach

Sandibeach

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  • Dx:Unexplained
  • My Clinic:Mtl Fert / Ottawa Fert / Hannam Fert

Posted 27 December 2010 - 02:22 PM

Ladybug - Nope, I was already at the MOntreal Fertility when I went on the PIO, so my claim was from their pharmacy, not OFC. At OFC, I had the progestrone pills and they reimbursed me no problems.

I agree with SD - I think it was about $60-75 a bottle. I would definately fight them or ask to at least reimburse you for what they believe is the average cost. I didn't find a big difference in price for the other drugs from OFC re the Montreal Fertility Centre... the only difference is the MFC gives you the trigger shot free if you buy all your drugs from them...which is about a $100 savings... but otherwise I found the prices comparable.
ME-39 DH-39
TTC 9 years
Unexplained infertility / mild male factor
6 Cycles Clomid - BFN
1 Laproscopy
2 IUI's- BFN
1st IVF - April 2008 - M/C @ 6 wks - OFC
1st Beta 25, 2nd Beta 87, 3rd Beta 257 BFP
2nd IVF - January 2y009 - No transfer - OFC
ER 23 eggs, 20 mature, 17 fertilized - TOTAL EPIC FAILURE - ALL 17 Embies arrested in development by Day 5
3rd IVF - June 2009 - This is it! - New Clinic - Montreal Fertility Centre
ER: June 8th - 16 fertilized eggs (no frosties)
ET: June 11th (2 excellent 8cell) & 13th (1 perfect blast)
HPT++++
June 24 1st Beta: 312 BFP
June 26 2nd Beta: 682
July 13 US: Singleton HB 130
July 25 US: HB 175 saw fetus moving
Aug 8 US: HB 165 all perfect
Aug 17 US: HB 157 all perfect
Oct 5 US: It's a BOY!!!!
Born March 3, 2010 - Julien Tristan
May 2011 - Natural BFP - Ectopic
Now trying the old fashion way - Bust
4th IVF - Dec 2011 - Back to OFC
Jan 16 - ER 11 eggs - 3 mature, 2 fertilized (OFC f**ked up again - triggered me too soon)
Jan 18 - Emergency Day 2 ET - 2 4 cell embryo's transferred
Feb 2 - Beta - BFN
5th & Final IVF - July 2012 - 3rd opinion - Hannam Fertility
Satelitte monitoring at OFC
ER - July 24
ET - July 27
Beta - Aug 10
Transferred 3 perfect embryos - 1 blast frozen
Aug 6 - HPT ++++++
Aug 8th Beta - 225 BFP
Aug 10th Beta - 445
Aug 27th US ~ 1 perfect little bean HB 120
Sept 10th US - all good HB 162
Due Date: April 16th, 2013 It's a GIRL!!!
Born April 9th, 2013 - Amelia Danica

#69 LBO

LBO
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  • Gender:Female
  • Location:Ottawa
  • Dx:Male Factor
  • My Clinic:Ottawa Fertility Clinic

Posted 27 December 2010 - 08:47 PM

Thanks for the info SD and SB. I'm definitely going to look into it. They told me that it only costs $7 and OFC was charging $75. They gave me $10 back so I'm going to ask them again and go to a couple of pharmacies just to check it out. They never questioned me for anything else before. I haven't tried submitting my IVF receipts but I'll probably give that a try after the holidays.

#70 Starburst

Starburst
  • Just Hatched
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  • Gender:Female
  • Location:Ottawa
  • Dx:Other
  • My Clinic:OFC

Posted 29 December 2010 - 10:06 PM

Thanks for the info SD and SB. I'm definitely going to look into it. They told me that it only costs $7 and OFC was charging $75. They gave me $10 back so I'm going to ask them again and go to a couple of pharmacies just to check it out. They never questioned me for anything else before. I haven't tried submitting my IVF receipts but I'll probably give that a try after the holidays.



Thanks for everyone's information about Sunlife - same boat as many with working for the Federal Gov't and not getting a lot of answers from Sunlife. Hoping to start IVF in the spring (first time), but not sure if it'll happen. thanks for all the great tips and info!!!!

#71 countingdown

countingdown
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  • Gender:Female
  • Location:Ottawa
  • Dx:N/A

Posted 07 January 2011 - 12:37 AM

Hey ladies - I just paid for my upcoming cycle today.. I'm also going to submit to Sunlife and am a fed gov't employeed. We'll see what they say and I'll keep you all posted if I hear anything.

#72 Jellybeans

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  • Dx:Tubal

Posted 07 January 2011 - 04:27 PM

A few things:

Lab fees: Hazypeanut, why did I never think of submitting the lab fees for re-imbursement?? It's on my to-do list for the weekend.

Sunlife drug coverage: my husband and I work for different employers and have totally different coverage even though we BOTH HAVE SUNLIFE. Mine will only cover something like $2500 lifetime max for fertility drugs; his is $9500. Please note: when I first called to check coverage, the rep said 'Yes, no problem, all these meds are fully covered if prescribed by a doctor'. When I called to double-check something, they told me I had to submit a form for assessment beofre they could guarantee coverage of the drugs. When I called a third time, they told me about my lifetime maximum (which was before I knew about my hubby's, so I panicked). Also, on the upside, they did tell me that they don't consider suprefact a fertility drug, so it's not subject to those maximums.

On fighting for IVF coverage: I think we're fighting the wrong battle. Private companies can do whatever they want, whatever the market will allow them to do. Healthcare coverage is a provincial matter, and we should ALL be fighting our provincial/territorial government to ensure the same benefits Quebeckers now have. Below is a link to a recent report from the CADTH (a federal agency that reviews drugs and health technology) that summarizes coverage and plans across Canada in case you're curious. In Ontario (where I am from), the provincial government convened a group of experts to look at the coverage issue, and guess what they found? Yup, you guessed it.

I am not ready to go public for this battle yet - too fragile right now. But even though my IVF is funded (I have blocked tubes) I think this is a really important issue.

Links:
1. CADTH report: http://www.cadth.ca/...IVF_es-14_e.pdf
2. Ontario Report "Raising Expectations" executive summary: http://www.children....rt/summary.aspx
3. "Raising expectations" fertilityspecific section: http://www.children....mary.aspx#three

#73 Sandibeach

Sandibeach

    Honorary PhD

  • Cyclebase
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  • Gender:Female
  • Location:Ottawa
  • Dx:Unexplained
  • My Clinic:Mtl Fert / Ottawa Fert / Hannam Fert

Posted 07 January 2011 - 06:38 PM

A few things:Lab fees: Hazypeanut, why did I never think of submitting the lab fees for re-imbursement?? It's on my to-do list for the weekend.Sunlife drug coverage: my husband and I work for different employers and have totally different coverage even though we BOTH HAVE SUNLIFE. Mine will only cover something like $2500 lifetime max for fertility drugs; his is $9500. Please note: when I first called to check coverage, the rep said 'Yes, no problem, all these meds are fully covered if prescribed by a doctor'. When I called to double-check something, they told me I had to submit a form for assessment beofre they could guarantee coverage of the drugs. When I called a third time, they told me about my lifetime maximum (which was before I knew about my hubby's, so I panicked). Also, on the upside, they did tell me that they don't consider suprefact a fertility drug, so it's not subject to those maximums.On fighting for IVF coverage: I think we're fighting the wrong battle. Private companies can do whatever they want, whatever the market will allow them to do. Healthcare coverage is a provincial matter, and we should ALL be fighting our provincial/territorial government to ensure the same benefits Quebeckers now have. Below is a link to a recent report from the CADTH (a federal agency that reviews drugs and health technology) that summarizes coverage and plans across Canada in case you're curious. In Ontario (where I am from), the provincial government convened a group of experts to look at the coverage issue, and guess what they found? Yup, you guessed it. I am not ready to go public for this battle yet - too fragile right now. But even though my IVF is funded (I have blocked tubes) I think this is a really important issue.Links:1. CADTH report: http://www.cadth.ca/...IVF_es-14_e.pdf 2. Ontario Report "Raising Expectations" executive summary: http://www.children..../summary.aspx3. "Raising expectations" fertilityspecific section: http://www.children....mary.aspx#three


JB - Sunlife and other companies such as Greatwest LIfe adminster health care plans for employers based on what they dictate. This thread is for those employees who are employed with the federal public service. Everyone's coverage is different based on the employer, even if it's administered by Sunlife. Sunlife doens't make the decisions, the company does. In our case, the feds do cover all our drugs and there is no maximum amount. I've claimed probably almost $20k in drugs and had it reimbursed no problems. We are now fighting with them to have IVF covered.. and when I say them - the board of trustees for the fed govt.. we just have to go threw sunlife to do it. Sorry to hear your employer is not so generous. All the best!
ME-39 DH-39
TTC 9 years
Unexplained infertility / mild male factor
6 Cycles Clomid - BFN
1 Laproscopy
2 IUI's- BFN
1st IVF - April 2008 - M/C @ 6 wks - OFC
1st Beta 25, 2nd Beta 87, 3rd Beta 257 BFP
2nd IVF - January 2y009 - No transfer - OFC
ER 23 eggs, 20 mature, 17 fertilized - TOTAL EPIC FAILURE - ALL 17 Embies arrested in development by Day 5
3rd IVF - June 2009 - This is it! - New Clinic - Montreal Fertility Centre
ER: June 8th - 16 fertilized eggs (no frosties)
ET: June 11th (2 excellent 8cell) & 13th (1 perfect blast)
HPT++++
June 24 1st Beta: 312 BFP
June 26 2nd Beta: 682
July 13 US: Singleton HB 130
July 25 US: HB 175 saw fetus moving
Aug 8 US: HB 165 all perfect
Aug 17 US: HB 157 all perfect
Oct 5 US: It's a BOY!!!!
Born March 3, 2010 - Julien Tristan
May 2011 - Natural BFP - Ectopic
Now trying the old fashion way - Bust
4th IVF - Dec 2011 - Back to OFC
Jan 16 - ER 11 eggs - 3 mature, 2 fertilized (OFC f**ked up again - triggered me too soon)
Jan 18 - Emergency Day 2 ET - 2 4 cell embryo's transferred
Feb 2 - Beta - BFN
5th & Final IVF - July 2012 - 3rd opinion - Hannam Fertility
Satelitte monitoring at OFC
ER - July 24
ET - July 27
Beta - Aug 10
Transferred 3 perfect embryos - 1 blast frozen
Aug 6 - HPT ++++++
Aug 8th Beta - 225 BFP
Aug 10th Beta - 445
Aug 27th US ~ 1 perfect little bean HB 120
Sept 10th US - all good HB 162
Due Date: April 16th, 2013 It's a GIRL!!!
Born April 9th, 2013 - Amelia Danica

#74 ivfsurvivor

ivfsurvivor
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  • Gender:Female
  • Location:Calgary, Alberta
  • Dx:Endometriosis
  • My Clinic:RFP Calgary

Posted 08 January 2011 - 11:56 PM

For those of you who have federal health care coverage, members of RCMP, DND, parliment, etc. Policy center in Ottawa has recently approved coverage for us up to the level of Quebec :th_acheerlead: , watch the thread I just started for more information. If you have federal health care, not PSHCP :( , check with your benefits office for more information.

Sorry to the rest of you who still have to come up with $$, it makes it that much harder. Hopefully the rest of the provinces will see the light and start to cover IVF on a more general scale, instead of making the criteria so difficult.
I'm gonna go now. My time here is done, and it's time to move on. I am on Facebook and if you'd like to be my friend PM me, I will leave this account active for awhile, but not for too much longer.

It's been a blast(ocyst) (my lame attempt a IF humor)

T.

#75 brightmb

brightmb
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  • Location:Winnipeg Manitoba
  • Dx:Male Factor
  • My Clinic:HFC

Posted 19 January 2011 - 12:22 PM

I spoke with D'thea Webster the PSHCP Asministration authority at the National Joint Council regarding the clause in the public service health care plan that states the following (for those not in DND or the RCMP but the rest of the PS) :


Eligible expenses are the reasonable and customary charges for:
1. physician's services and laboratory services where such services are not eligible for reimbursement under the participant's provincial/territorial health insurance plan, but where such services would be eligible for reimbursement under one or more other provincial/territorial health insurance plans.

Laboratory services include those services which when ordered by and performed under the direction of a physician provide information used in the diagnosis or treatment of disease or injury. Services include, but are not limited to, blood or other body fluid analysis, clinical pathology, radiological procedures, ultrasounds, etc.

Where only one province/territory provides reimbursement for a particular service, and that province/territory discontinues the coverage, the issue shall be subject to review by the Trustees as to whether coverage will also be discontinued under the Plan. Claims for such services, following cessation of provincial/territorial coverage, shall be held by the Administrator pending the decision of the Trustees.

Where a province/territory begins reimbursement for a particular service, claims for the service shall be held by the Administrator pending a review by the Trustees as to whether the service should be covered in the other provinces and territories.

I wanted to know what the plan for review was going to be now that the Quebec Provincial Health Care Plan covers three rounds of IVF. This is the response and clarification that I received:

Sun Life is preparing a discussion paper on this issue, detailing the provisions in Quebec; the Administration Authority will subsequently review this paper and make its recommendation.



As to timeline, we are held up at the moment because we have not been able to responses from RAMQ on certain key questions.



A descision and analysis appears to be held up and they are not progressing quickly. I think that if more people contact the NJC we may be able to gain momentum (strength in numbers) in order to get this progressing more quickly. The NJC would be the ones to push this for us.

If anyone has any other suggestions or know of anyone with the Province of Quebec who could ensure the the NJC receives the information that they are requesting that would be benficial as well.
DH- 36
ME-36
Married 12 years
TTC- 7+ years
IVF # 1- BFP DS born 2007
FET #1- BFN
FET #2 - BFN
FET #3- BFN
IVF # 2 - November 2010
Protocol:
BCP
Superfact November 8
First screening November 15
Egg Retrival December 2
8 Eggs retirived only 2 fertilized
December 4 (DH B-day) transferred 2
December 14 AF- BFN :-(

IVF# 3- August 2011
Superfact - August 5, 2011
First screening - August 18, 2011
Gonal F 300 and Luvaris -
17 Eggs retrieved- 13 Fertilized
Transferred 2grade B embryos 1-9 cell, 1-8cell
3 Frosties
September 11- Started what I thought was AF
September 13 - BFP
September 14 AF stop
September 15 - BFP
Cautiously Optomistic - Due Date May 24
It's Twins!!! OMG Freaking out!!!


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