Insurance coverage for NFP: strategy and templates?

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rjm54

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Friends,

We would like to request that our health insurance provider cover our reproductive health services (aka NFP) provided by a licensed practitioner of the Creighton Model Fertility Care System.

We feel quite sure we are not the first to have gone through this process. If you have gone through the process, please share your strategy, step by step if possible. Most importantly, we would very much appreciate templates of your actual correspondence to help us draft ours.

We are quite aware that these initial efforts may not be successful, but this is how activism works.

Of course it is always therapeutic to vent about these issues, and there are several other threads dedicated to that. Let’s assume on this thread that we all agree about the politics, etc., and focus on the pragmatics.

Many thanks!!!
 
could you explain why insurance coverage is needed ? I and others may be able to help better with strategies if we understood the reasons for the need of coverage.
 
Creighton method is connected to NAPRO technology…way better for healing and treating fertility issues than “the pill”.

It is preventive maintenance (I’ve found several issues from charting I never would have found otherwise-- caught things early). I believe every woman should be charting for her own health record.

To the OP: the archdiocese of St. Louis covers NFP classes for the employees. Perhaps call HR there and ask for assistance.
 
if you don’t want to talk about the “politics” of needing insurance for creighton nfp then could you post some links to these threads you mentiioned so I can learn more about it.

medical issues that cause issues with a womens health are covered under reg insurance so what “fertility care” are you talking about?

treatments for infertility are elective!
 
Rita77 said:
if you don’t want to talk about the “politics” of needing insurance for creighton nfp then could you post some links to these threads you mentiioned so I can learn more about it.

medical issues that cause issues with a womens health are covered under reg insurance so what “fertility care” are you talking about?

treatments for infertility are elective!
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Napro tech is not merely an elective treatment for infertiltiy. this isn’t IVF. This is actually treating irregular problems in the female cycle, but first one has to diagnose and charting can help with that.

As I said, sometimes one doesn’t even know there are problems unless charting.
 
agapewolf said:
Napro tech is not merely an elective treatment for infertiltiy. this isn’t IVF. This is actually treating irregular problems in the female cycle, but first one has to diagnose and charting can help with that.

As I said, sometimes one doesn’t even know there are problems unless charting.
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I know its not IVF. I have training in both creighton and stm. these “irregular problems” aren’t causing a medical conditions that would be covered by regular medical insurance for example some hormone inbalances. if its not causing a problem like discomfot or pain etc and isn’t labeled a medical condition just irregular or inbalance then it is and should be elective treatment. for example my son has a small birthmark on his face but it doesn’t cause discomfot or pain or anyother medical condition its just a irregularity and treatment to remove or fade it would be elective. I know irregular problems like hormone inbalances cause infertility and the couple may really wish to have it fixed, and I don’t care if they spend lots of money trying, but don’t complain about how expensive it is because its an elective treatment. this method and its doctors need to explain why these irregular inbalances that aren’t causing discomfoting medical conditions need such expensive treatment?some specialty fertility care doctors are exploiting infertility. I’m just saying some are making big money on this treatment and they want you to keep coming back. I’m not saying this method is exploiting anyone but some in this field are. sometimes is as simple as better nutrition. nothing about us is perfect and why should it be.
 
Rita77 said:
I know its not IVF. I have training in both creighton and stm. these “irregular problems” aren’t causing a medical conditions that would be covered by regular medical insurance for example some hormone inbalances. if its not causing a problem like discomfot or pain etc and isn’t labeled a medical condition just irregular or inbalance then it is and should be elective treatment. for example my son has a small birthmark on his face but it doesn’t cause discomfot or pain or anyother medical condition its just a irregularity and treatment to remove or fade it would be elective. I know irregular problems like hormone inbalances cause infertility and the couple may really wish to have it fixed, and I don’t care if they spend lots of money trying, but don’t complain about how expensive it is because its an elective treatment. this method and its doctors need to explain why these irregular inbalances that aren’t causing discomfoting medical conditions need such expensive treatment?some specialty fertility care doctors are exploiting infertility. I’m just saying some are making big money on this treatment and they want you to keep coming back. I’m not saying this method is exploiting anyone but some in this field are. sometimes is as simple as better nutrition. nothing about us is perfect and why should it be.
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Those that use Napro are NOT exploiting fertility. You really need to do some research.

As I’ve said twice already, and you are apparently not reading, I’ve found symptoms of things I never would have found had I not been charting, that was early warning signs of things that could be more severe.
 
agapewolf said:
Those that use Napro are NOT exploiting fertility. You really need to do some research.

As I’ve said twice already, and you are apparently not reading, I’ve found symptoms of things I never would have found had I not been charting, that was early warning signs of things that could be more severe.
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thats great thats why I love nfp its natural and it can help women correct and or identify problems but are expensive fertility specialist really needed for irregularities that aren’t disconfoting medical conditions? this method makes lot of money doing it. I dont care how people spend their money but its wrong to exploit.
 
Rita77 said:
thats great thats why I love nfp its natural and it can help women correct and or identify problems but are expensive fertility specialist really needed for irregularities that aren’t disconfoting medical conditions? this method makes lot of money doing it.
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The method doesn’t make any money doing it. That doesn’t even make sense.
 
I shouldn’t have said the method makes money but the method does have teachers that give referrals to napro creighton method fertility speacialist doctors. the doctors use the method to make money.
 
getting back on subject here is what it comes down to treatments for infertility especially non discomfoting non medical condtions are elective treatment and should not be covered by medical insurance.
 
Rita77 said:
getting back on subject here is what it comes down to treatments for infertility especially non discomfoting non medical condtions are elective treatment and should not be covered by medical insurance.
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infertility is a medical condition. It’s not working properly. Just because something doesn’t cause pain does not mean its not a medical problem.
 
agapewolf said:
infertility is a medical condition. It’s not working properly. Just because something doesn’t cause pain does not mean its not a medical problem.
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I’m not here to argue why some infertilty treatments are elective. yes its a medical condition but treatment for non discomforting kind is unnecessary. and yes it causes emotional discomfort but thats not what medical insurance is for. research why some infertility treatments are elective. I’m going to go enjoy the rest of my weekend and I hope you all do too. we can agree to disagree
 
agapewolf said:
Creighton method is connected to NAPRO technology…way better for healing and treating fertility issues than “the pill”.

It is preventive maintenance (I’ve found several issues from charting I never would have found otherwise-- caught things early). I believe every woman should be charting for her own health record.

To the OP: the archdiocese of St. Louis covers NFP classes for the employees. Perhaps call HR there and ask for assistance.
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Charting is free, and costs little to learn. I’ve charted for over 20 years. My only cost after the original class was $40 for a software program that I use to chart but that’s my preference, not a requirement. I could use paper charts. I’m not seeing what the expense is that would need to be covered from the insurance company. If I’ve detected an issue with charting, my insurance would cover seeing an OB/GYN or other specialist to treat.
 
etmom said:
Charting is free, and costs little to learn. I’ve charted for over 20 years. My only cost after the original class was $40 for a software program that I use to chart but that’s my preference, not a requirement. I could use paper charts. I’m not seeing what the expense is that would need to be covered from the insurance company. If I’ve detected an issue with charting, my insurance would cover seeing an OB/GYN or other specialist to treat.
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Not for creighton method it isn’t free. Creighton method is more than just “charting”. You aren’t considered actually using the method unless you have regular meetings with an instructor. (it can be every 6 months-1 year once learned).
 
Rita77 said:
I’m not here to argue why some infertilty treatments are elective. yes its a medical condition but treatment for non discomforting kind is unnecessary. and yes it causes emotional discomfort but thats not what medical insurance is for. research why some infertility treatments are elective. I’m going to go enjoy the rest of my weekend and I hope you all do too. we can agree to disagree
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But that’s all you have been doing–arguing. its way more than “emotional discomfort”…in fact, using that term is insulting.

I have been using my insurance to pay for my creighton meetings…and thank God I have, because my doc has used to diagnose issues for me, and helped treat them…and discovered other things that I never would have known. and I am single, trying to prevent cancer, and protect my fertility. This IS NOT in ANY WAY “elective”.

You really really need to do some research.
 
rjm54, what is your real problem?

Are you saying that if you go to your OB/GYN for an annual visit and he/she bills for a diagnosis code of V25.04, Counseling and instruction in natural family planning to avoid pregnancy, that your insurance company will not pay for it?

Have you asked your practitioner if they bill and/or how to get reimbursement?
 
PaulinVA said:
rjm54, what is your real problem?

Are you saying that if you go to your OB/GYN for an annual visit and he/she bills for a diagnosis code of V25.04, Counseling and instruction in natural family planning to avoid pregnancy, that your insurance company will not pay for it?

Have you asked your practitioner if they bill and/or how to get reimbursement?
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Yes to both questions. Our practitioner would bill but our insurance company will not cover the diagnosis code.
 
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