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Blue Shield HMO-Ob/Gyn-fertility issues

Aug 2006

Hello: I am thinking of switching to Blue Shield HMO from Kaiser. I am just starting to be seen at the Kaiser fertility clinic, and both my Kaiser and potential Blue Shield only pay for 50% of treatment. I am wondering what current recommendations might be for a Blue Shield OB/gyn in the area who also deals with fertility issues. I'm also wondering if more simple fertility issues (non-IVF)could be addressed as a regular office visit to an Ob/gyn, and not a fertility specialist, which would be covered in full as opposed to 50%. At Kaiser you are automatically transferred to the fertility clinic so everything is only covered at 50%, even though I would imagine some of the tests could be done by a regular ob/gyn. So, I guess I'm trying to find a good ob/gyn who is good with fertility issues and might also be willing to see patients for this as part of a regular office visit. Thanks, Rebecca


I have heard that some primary care docs and OB's will give Clomid without asking a patient to see a fertility doc first. I'm not sure who they are, but you'd best just be direct and ask them. If you are uncomfortable with it, just first say ''I am trying to optimize my insurance coverage for fertility treatment, which can be very, very costly.'' By the way, lucky you that your insurance pays 50%! JM
Hello Rebecca, I don't know about Ob's who also deal with fertility issues, but I do have some advice. My husband and I have a 17 month old son who was conceived using injectible medications combined with IUI. (I'm hoping you know about the infertilty lingo...) This was while we lived on the East Coast. We moved to Walnut Creek about 8 months ago and have recently been thinking of trying to have a second baby. My husband is a physician who knows the Ob/gyns and Infertility docs in the area. Through his work and personal connections, he decided that Reproductive Science Center would be a good place for us to start. We have seen Dr. Willman and Dr. Hinckley and have been very happy with them so far. We have yet to embark on any actual treatment, but I have a few friends who had success at this clinic.

We recently switched to Blue Shield HMO. As you know the fertility coverage is not great in California. So I completely understand why you are trying to find an Ob/Gyn rather than a Reproductive Endocrinologist (RE). However, speaking strictly from a medical point of view, I would urge you to go straight to an RE if at all possible. Though some Obs do have an interest and experience in fertility, I don't think it can compare with that of a specialist in this field. I have read countless books and articles on the topic. The consensus in the infertility community is that it's best to go straight to an RE if you have been trying to have a baby for 12 months or more and have been unsuccessful. The number of months goes down to 6 if you're 35 years or older.

So I guess I would answer your second question by saying that yes, it may be possible to address ''simple'' fertility isses at a regular office visit with an Ob.(I'm not sure there is such a thing...) I realize I am speaking without any knowledge of your fertility problems. Even so, if you truly do have infertility, your very best bet would be to see an RE at least once. Hope this helps, and best of luck to you. Anon


I had fertility issues too and I would recommend going to see a fertility specialst if you're serious about conceiving. If you have a medical spending account at work, the copays for doctor's visits (even IUI) are covered been there
Hi- I can't speak for certain on the fertility issues part of your question. But I can recommend an OB that might fit your bill. I've seen Dr. Kanwit at East Bay Physicians Medical group (formerly known as OB/GN Fertility Specialists)for my first pregnancy, and now ongoing for my second. I had Blue Shield HMO with my first pregnancy (and subsequent visits) and now we have Blue Shield PPO. Once my OB gave the thumbs up after my first child, we spoke of fertility (1st one was unplanned), but we didn't go too into depth, since we weren't quite ready for a second yet. I believe she (or really any of the doctor's in the group) could handle what you are asking for. You can always call them and speak to their office staff, they are friendly. Their phone number is (510) 845-8047. They are located in Berkely on Telegraph, just above Ashby Ave. Goodluck! I hope you find what you need! Oh, and you can always contact me directly if you need more info. kukana

Experience with Bay Area Fertility clinics?

June 2005

I'd like to hear from women who've done IUI or IVF recently at some of the Bay Area clinics and to get feedback on their experience. My husband and I recently tried Reproductive Science Center in Orinda and I'm not sure how we feel about the experience, and would like to compare to other people's experiences. If you're reading this and have recent (2004 and after) and relevant experience, or know someone who does, we'd really like to get some feedback. thanks.
Re: Experience with Bay Area Fertility clinics? (June 2005)
Recommended:

  • Pacific Fertility Center
  • Reproductive Science Center
  • Stanford Reproductive Endocrinology and Infertility Center
  • UCSF Center for Reproductive Health (4)

    Buying IVF meds online from Europe?

    May 2005

    Does anyone have experience (good or bad) buying IVF medications online from European (or other overseas) pharmacies, such as www.ivfmeds.com? The prices are considerably cheaper than even the cheapest U.S. based online pharmacies, and appears to be the exact same products (Gonal-F). They say they account for the time customs takes in their estimated shipping time. Other than the additional time shipping, does anyone know of any reason NOT to order from overseas? Thanks for any advice.


    Hi, I bought Gonal F and Antagon from ivfmeds.com a couple of years ago for IVF #1 and would highly recommend. It was a very easy process, the order arrived within a few days (sent from a London pharmacy) and I saved a ton of money - we were completely self funding. As an aside, there's a website called freegaragesale.com which, in its medical category, lists private sales of IVF drugs. I had a good experience with a seller for my 2nd (successful) IVF cycle, but it's obviously a little risky. Good luck!

    Reproductive Endocrinologist - Blue Shield

    Nov 2004

    I have Blue Shield PPO and am absolutely amazed and frustrated to find that there is not a single RE listed on my plan within 100+ mile radius! I have called my insurance provider already...this is how I know about the 100+ mile radius. Arrrrgghhhh. Any of you have any experience with a local East Bay RE AND have Blue Shield as your insurance and would be willing to share your little secret??! Prefer someone in the East Bay. Many thanks, Lauri


    I highly reccomend travelling down to Stanford if you can manage it. Incredible staff, doctors, nurses etc -- and they take just about any insurance (from what I gather). I did IVF down there and was able to schedule all my app'ts to avoid traffic. Parking is easy too. Good luck
    I know this might sound nutty, but since most companies have open enrollment in December, you should immediately change your insurance if you can. We had really horrible coverage with Blue Shield/Cross for infertility. We had expensive co-pays for everything. If you are beginning this journey, you are much better off with Kaiser or another plan that covers way more of the testing and procedures. That said, we ended up having to pay for our IVF out of pocket, but at least we had all the other things that we tried paid for first. Sorry that I can't help you find someone local. Annie

    Endocrinologist John Linfoot?

    August 2003

    I've had trouble keeping early term pregnancies and was advised to see an Endocrinologist. Does anyone have experience with Dr.John Linfoot or with other area endocrinologists for dealing with potential reproductive issues? seeking answers


    I went through 4 years of infertility and did a ton of research. While you can go to any basic endocrinologist for your basic testing (fsh, etc.), I'd recommend Dr. Zouves for being the absolute best in the area. His email is: http://www.goivf.com/ Also, if you're 40 or over, there is a wonderful email list called ''fortility'' which is for women of this age trying to conceive. I found it to contain some of the smartest, most upbeat, well-researched people I've ever met. Go to www.surrogacy.org for info. good luck, cat
    Rachelle Halpern in Berkeley 843.5000 is a great endocrinologist. I'm sure she'd be happy to talk to you about fertility issues and whether or not she can help. Good luck! peggy
    I understand your request is in regard to reproductive issues but I thought you might like to have any comment regarding Linfoot's office. My husband is currently seeing Dr. Linfoot for thyroid problems. We recently moved to the Bay Area and had not even seen a GP when my husband woke up recently with a very large growth on his throat. We found a GP who immediately sent us to an ear, nose and throat specialist and he, in turn, sent us to Dr. Linfoot. This all happened within 5 days. Dr. Linfoot had no appointments available but he stayed after hours to see my husband. I am very particular about doctors and believe in taking a proactive role in health care. Prior to our visit with Dr. Linfoot, I spent hours and hours on the internet comparing information as well as talking to several doctor friends from the Houston Medical Center in Houston. (We just moved here from Houston.) Dr. Linfoot was excellent. He answered our multitude of questions. He was current on all different types of procedures. He was patient and kind, never rushing us in any way. I was very impressed. We are down to a decision regarding surgery to remove the thyroid and Dr. Linfoot is working with us to make the decision. I highly recommend him as an endrocrinologist. PJ
    I saw John Linfoot for a thyroid problem a few years ago, and I wasn't thrilled with the practice. While I liked him and the other doctor I saw, I thought their follow-up was not very good or very thorough. I got the impression that the specialty of the practice was diabetes. I suggest you find someone who specializes in reproductive endocrinology specifically. Not only do you want someone who knows all the latest developments in this area, but someone with at least an inkling of the emotional issues involved with these problems as well. RESOLVE of Northern California used to have a referral list of fertility specialists, you might contact them. Mary

    Books about Infertility

    January 2003

    I'm not sure if this should perhaps be an advice wanted posting. I'm looking for a fertility/pregnancy book that's really clinical, with explanations about what's really going on in the body. The book ''Taking Charge of Your Fertility'' is a good start (especially regarding hormone fluctuations throughout the menstrual cycle and how they relate to fertility), but I'd like something more in depth, going beyond just the hormone fluctuations, and also with more expanations about why something occurs due to a particular hormone or process. eg: progesterone causes the basal body temperature to increase, but why? Basically, I'm looking for something less intense than a medical textbook, but more informative than the standard books I've looked at. However, I'm open to buying a textbook (say, at the UCSF bookstore since they are a medical university) if there's one (or two) that could provide a lot of information in a way that I could understand, but I don't know where/how to find the right one. I'd love to hear from anyone with suggestions.


    You might check out Resolve (www.resolve.org), a national organization that addresses issues of fertility and infertility. They have a collection of Fact Sheets on different topics related to infertility (and so by extension, fertility and the reproductive system) that I have found to be excellent in both the amount of real medical information and level of complexity. They are just right for an intelligent lay-person.
    I'm an ob/gyn nurse practitioner, and ''Taking Charge of your Fertility'' is the book I usually recommend to patients, but if you want real depth, the ''bible'' of the field is ''Clinical Gynecologic Endocrinology and Infertility'' by Speroff et al. I don't know of a book that's not a textbook that's better than ''Taking Charge..'' Good luck! (The Speroff book is very expensive...if you're in the Berkeley area, you're welcome to borrow mine, just email me) Debbie

    Online Resources

    Nov. 2003

    Re: IVF
    Please check out http://207.44.160.141/board/forumdisplay.php?s=&forumid=108 or http://207.44.160.141/board/allboards.html You will find tons of information on IVF in California at the link above. Several people have been have listed recommendations, or experiences at the clinics you have mentioned. If you have trouble with these links please let me know. Good Luck! Mary


    RESOLVE

    May 2000

    Resolve of Northern California is a group that helps people with fertility problems in a number of ways. I received their helpful, informative newsletters and joined one of their support groups during our struggle with fertility. (I don't know if this is more than lucky coincidence, but everyone in my support group ended up having a child or children one way or another.) The phone number is (415) 788-6772. It's in San Francisco, but our support group was in the East Bay and the annual conference we went to was at Mills College. Your friend should call them and find out what is going on in San Jose, and about other large scale events she could attend. www.resolve.org


    I would also recommend a support network for fertility Resolve. They have a web site and have a good deal of information and terrific volunteer support. Here is the northern California chapter web site http//www.ihr.com/resolve/nchome.html Best of luck!! Molly (5/00)
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