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Does Insurance Pay For Tubal Reversal? What About IVF?

truths about tubal reversalThis is a continuing blog series that addresses erroneous ‘facts’ listed by a in-vitro fertilization (IVF) expert.

The list of biased ‘facts’ against tubal reversal was intended to persuade women to have IVF rather than tubal reversal.

Unfortunately many women who discuss tubal reversal with their doctors will hear many of these same biased opinions.

The complete list of biased ‘facts’ against tubal reversal can be seen in the first article in this series is So Called ‘Facts’ About Ligation Tubal Reversal.

This article deals with the third biased ‘fact’ listed by the IVF specialist:
Tubal reversal is not paid for by health insurance and there is no guarantee that tubal reversal will work.

Will Insurance Pay For Tubal Reversal?

Unfortunately the vast majority of health insurances will indeed not pay for tubal reversal. Neither will Medicaid nor Medicare pay for reversing tubes either. Occasionally a patient will have a unique health insurance plan which will pay for either part or all of tubal reversal. These generous insurance plans are very rare.

Some military insurances will pay for tubal reversal; however, there are often so many restrictions on who can do it and what must be done in order to have the surgery that it  becomes very impractical to have military insurance pay for tubal reversal surgery. Most of these patients will end up paying out of pocket rather than waiting several years to get a tubal reversal through the military.

Tubal Ligation Side Effects: Will Insurance Pay?

If you have pain, heavy periods, loss of sex drive, or any of the other side-effects women occasionally report after getting their tubes tied then I am also sorry to inform you health insurance will not pay for a tubal reversal surgery and neither will Medicaid nor Medicare. Sorry but it ain’t gonna happen no matter how hard you try to make it happen.

infertility treatments are often not paid by insuranceSome patients will get an uninformed, representative who will initially tell them over the phone their plan will pay for tubal reversal if there is a medical indication for the surgery; however, they won’t tell you it is very difficult to get a doctor to agree with this concept.

They also will not tell you when it is all said and done, your claim gets to upper level management, and it comes down to actually paying for surgery then they will deny payment.

They will never admit their representative gave you the wrong information and they will just tell you they don’t pay for infertility treatments. We have seen this many times before.

Will Insurance Pay For IVF?

I have depressing news for you. The vast majority of plans will not pay for IVF. Some will pay for IVF but will not do it if you have had a voluntary tubal ligation.

Most health insurances will not pay for non-essential surgery. They will not pay for breast augmentations, face lifts, tummy tucks, etc. They feel the same about paying for infertility treatment if you have had a voluntary tubal ligation procedure.

What if you were coerced into tubal ligation? Often they won’t buy this excuse and the health insurance folks think it is more appropriate for your lawyer to work this one out for you in the medical malpractice courts.

If you have had your tubes tied then you are often on your own when it comes to paying for either tubal reversal or IVF.

Is Tubal Reversal Guaranteed To Work?

There are no guarantees when it comes to any infertility treatment. This is true regarding IVF and tubal reversal.

On average most women will have tubal reversal pregnancy success . Approximately 60% will report pregnancy within one year and approximately 33% will have a baby within one year. Regarding IVF pregnancy success, approximately 30% of patients will become pregnant with each cycle of IVF attempted.

Facts On Tubal Reversal

facts about ivf and infertilityI have been evaluating the IVF doctor’s biased statements about tubal reversal. Most are heavily biased against tubal reversal and about half are incorrect.

Since my elementary school daughters are good at distinguishing fact from opinion I have been enlisting their assistance in the grading of each of the IVF expert’s biased statements against reversal.

Health insurance will not pay for tubal reversal (fact) and there is no guarantee tubal reversal surgery will work (fact).

The IVF expert did pretty good on this one but the IVF expert neglects to mention the exact same facts are also true for IVF.

The next article in this series deals with the IVF experts fourth biased opinion:Checking For Blocked Tubes After Tubal Reversal.

Submitted by Dr. Charles Monteith

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

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Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? Leave a comment here or visit our contact page.

2 Comments

Francine Reply

Yes I like more information on IVF . Thanks


    Dr. Monteith Reply

    Francine

    We don’t do IVF. We only offer tubal reversal surgery.
    The total cost is $6,900. We have many patients who travel to us from your area for tubal ligation reversal.

    We should be able to help you. We can reverse most tubal ligation procedures.

    The first step to see if you are a candidate is to send us your tubal ligation reports to us for a free review and we can let you know if you are a candidate for reversal surgery.

    Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

    We charge $6,900 total plus $150 to schedule and we are located in Raleigh, North Carolina.

    Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

    On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

    We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

    Although $6,900 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

    The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

    Frequently asked questions about tubal reversal

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

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If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

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