Thursday, February 19, 2009

Fertility Chronicles: Part 3

Alright, so here's what's going on...and my dilemmas (yes, that's plural!) Jeff got his test results back today and it was a thumbs up, but they said they would recommend that we still do ICSI. That's where they inject the sperm directly into the egg to fertilize it. My question is, if Jeff's little soldiers are fine..why do we need to do ICSI and incur the extra cost of doing it? Apparently the nurse told Jeff that if they just put the sperm in the dish w/ the eggs and hope for the best, there's only a 15% chance that it will work. Um..what??! How can it be that low when the sperm and eggs are all there together hanging out? Say..6 eggs..and 2 million sperm...and it's still only 15%??? Bollocks to that! I think she just wants us to spend the extra money. ICSI is for couples who have infertility issues with both partners. If Jeff's "boys" are A-OK....then I don't see a reason to pay the extra $1500-$1800 to have it done. Oh..and that's out of pocket..insurance doesn't cover that. So this dilemma is: do I pay the extra money to guarantee we have embryos..which still may not result in a viable pregnancy..or let the fertilization happen naturally?

Ok..on to the next dilemma. Jeff may lose his job in April when his contract runs out..which means the insurance goes with it. We're hoping they'll make his position permanent..but we have to plan otherwise. IBM's insurance is AWESOME! No copays and they cover 2 cycles of IVF. If we lose that April 30th, I have to go on NC's State Insurance..which is hideous! Ridiculous copay and co-insurance fees and they don't cover IVF...plus you have to wait a year for payment on preexisting conditions. I should also mention that I would have to cover Jeff too..and the Employee/Spouse plan..is something like $350 a month. The family plan is $450. We're paying $80 through IBM for both of us...and their family plan is only $110...or something close to that.

If the IVF works and I become pregnant and then have to switch insurance companies..wouldn't the pregnancy be considered a preexisting condition?? In that case, they would cover NONE of the birth expenses...or any of the work I have to have done relating to the pregnancy at all. I can't lie and say I didn't know b/c it's insurance fraud and they could check w/ IBM's insurance and find out we had IVF. Even if the birth goes the way it's supposed to, you're looking at probably $12,000 or more....and if it's complicated, it could be $50,000 or more. Plus..what if Jeff still doesn't have a job? I realize all this sounds like I'm being a Debbie Downer, but I have to plan for the worst even while hoping for the best. What do I do? Do I still go ahead w/ the IVF knowing that Jeff may not have a job and that insurance wouldn't cover any pregnancy expenses? I know our parents would help us out..but they're in a tight bind right now too. Dad may lose 3/4 of his retirement, Jeff's parents just built a new house and are still supporting his brother and his family...so I wouldn't want to be a burden. I rarely ask for help anyway.

I'm just unsure about a lot of stuff. Now that I'm ready to do this...it's the absolute worst time to be ready for it. Our economy will be in the hole for another few years...but I'm not getting any younger and really don't want to wait that long to have a baby. I feel like my window of opportunity to have one is closing on me in the next 5 years, so I don't feel like waiting is an option. I keep trying to remind myself that Jeff's parents lived off of Beanie Weanies for a month in order get by after having Jeff....and they made it. Do I look at all of these roadblocks as a sign that we shouldn't be doing this or do I look at them as trials from God that I have to get through? Maybe God's testing the strength of my desire to have children. Maybe this is when He wanted me to be ready, even though it makes no sense to me. I just know I could use a lot of prayers right now. If you have any ideas or words of advice for me, please email me!