Does health insurance cover reproductive endocrinology

Many people don’t realize that health insurance coverage can vary from one type of contraception to another. Some plans will even cover the costs of one-time contraceptives (pills, patches, and implants), while others will not. It is essential to find out what kind of coverage you have before you start racking up massive medical bills because you are not aware of what your policy does and doesn’t cover.

We looked into the details of health insurance coverage for reproductive endocrinology (RE) and came up with a list of what is and isn’t covered. Keep reading for more information.

What Is RE?

It is estimated that there are about 150 different conditions that could be classified as RE. These conditions affect how our bodies produce hormones, which regulate a wide range of processes including reproduction, mood, appetite, and sleep. Conditions that affect the production of hormones include dysfunctions of the pituitary gland (which produces hormones that control the entire endocrine system), hyperthyroidism, and certain types of cancers (e.g. prostate cancer).

If a person has a condition that falls under the category of RE, their doctor will likely prescribe medications or perform surgery to correct the problem. If the condition is not treated correctly, it can cause more serious problems (e.g. infertility, osteoporosis, or depression). Fortunately, many of the conditions that fall under the umbrella of RE are quite treatable. In most cases, there is a simple and effective solution. The key is for the person suffering from the condition to seek out the proper treatment as soon as possible.

What Does RE Insurance Coverage Include?

If you are reading this, it’s quite likely that you have already been through an unpleasant experience with the health insurance system. In many cases, insurance coverage for RE is fairly poor and can leave patients with huge medical bills that they have to pay out of pocket. Fortunately, there is a way for patients to get the care they need without worrying about their insurance coverage.’

It is imperative to know what kind of coverage you have before you start seeing higher bills at the end of each month. To that end, we have compiled a list of what we consider to be the essential coverage for each type of condition that falls under the category of RE. We have also included a short description of the condition along with suggested treatments (where applicable).

List of What Is Covered By RE Insurance

Most healthcare policies will cover the following types of healthcare procedures and medications when they are used to treat a condition that falls under the category of RE:

  • Hysteroscopy
  • Endometrial Ablation
  • In Vitro Fertilization (IVF)
  • In Vivo Fertilization (IVF)
  • Tubal Ligation (LAVI/TLI)
  • Cesarean Section (C-section)
  • Oophorectomy (Menstrual Cup Removal)
  • Sodium Cotherapy (Epidemiology)
  • Thyroplasty/Thyroidectomy (Bariatric Surgery)
  • Coverage For Temporary Housing
  • Gastric Bypass
  • Stem Cell Therapy (R&D)
  • Tumor Necrosis Factor Inhibitor (TNFI)
  • Imbrication/Imbolization (Rheumatology)
  • Vascular Endothelial Growth Factor Inhibitor (VEGF I)

Essential Coverage for Hyperthyroidism 

An overactive thyroid (or hyperthyroidism) is a condition where the body’s thyroid gland produces unusually high levels of hormones. In most cases, this condition is treated with medication (e.g. methimazole, propylthiouracil, or methyltioxoxoacenaphthenate). In some cases, surgery may be necessary to remove extra thyroid tissue (e.g. a lymph node or a tumor). In the event of a lymph node dissection, the patient will need to recover from general anesthesia and will have to take pain medication for a week or two afterward.

If you have hyperthyroidism and want to make sure that you and your family are covered by insurance, it is essential that you have the following types of coverage:

  • Immediate Reaction Equipment (e.g. ventilator, pulse oximeter)
  • Anesthesia Agents (e.g. Sevoflurane, induction agents)
  • Post-operative Observation (e.g. Capnobagga, Compazine)
  • Dopamine (e.g. Percocet, Sinemet)
  • Beta-blocker (e.g. Atracurium besylate, Labetalol hydrochloride)
  • Labetalol (non-prescription)
  • Dobutamine (non-prescription)
  • Nitroglycerin (e.g. Nitro-Bid, Nitro-Glycerin, Nitrostat)
  • Amphotericin B (e.g. Fungizone, Amphotec)
  • Fluconazole (e.g. Diflucan, Fluidil)
  • Ciprofloxacin (e.g. Cipro, Levaquin)
  • Omeprazole (e.g. Prilosec, Lanzar
  • Rifampin (e.g. Rimactane, Rimactol)
  • Rifabutin (e.g. Myco-Pak, Rifadin)
  • Streptomycin (e.g. Strepto-Mycin, Somycin)

Essential Coverage for Pituitary Dysfunction

Pituitary dysfunction is a condition where the pituitary gland does not produce the correct hormones or produces hormones in significantly low amounts. If the condition is not treated properly, it can lead to a number of severe problems. These problems include infertility, osteoporosis, and increased risk of cardiovascular disease.

Some of the medications that are commonly used to treat pituitary dysfunction include:

  • Alpha-Methyl-Dopa
  • Fludrocortisone (Fosteron)
  • Hydrocortisone (Himalaya BC)
  • Triiodothyronine (T3)
  • Thyroxine (T4)
  • Parathyroid Hormone (PTH)
  • Pasireotide (Signiflor)

If you have pituitary dysfunction and want to make sure that you and your family are covered by insurance, it is essential that you have the following types of coverage:

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