This code was a bitch to get. It may already be out there, but it took me months to navigate the fact that any ACA compliant insurance (in my case, blue cross blue shield of Texas, PPO, but that part doesn't matter) has clauses that will cover what they label to be permanent birth control at 100%. Sometimes they have a preference that will make one type of surgery covered at 80 and another at 100, but in almost all cases, a bilateral salpingectomy will be the one covered at 100% for ACA compliant insurance plans

I was only able to hold this piece of paper in my hand that had the code on it for all of 3 minutes while walking down a hallway, and it was the work of four months of phone calls, in-person visits, emails, and doctors visits to get. Other people might be able to get it more easily, but BOY HOWDY did Texas NOT want me to get sterilized even though I'm older with multiple kids. The hoops I had to jump through to make this happen were insane, and someone far younger than me would have given up (If anyone wants a picture of the paper with redacted info, I'm happy to DM)

PRINCIPAL ADMITTING DIAGNOSIS CODE Z30.2 58661

I did not pay a dime for the bisalp, not to the OB, not to the anesthesiologist, not to the medical facilities where the surgery took place. And now I'm sterilized in this cursed state, yay!

good luck ladies!

hi queens! so i got my bisalp like 5 days ago and im 5 days post op and i just wanted to share my experience!

to start i am 21 and i live in michigan and in a very liberal city so getting approved wasnt a hard thing for me to do. i decided on a bisalp because i was getting an copper iud and to sum it up i have a small cervix. so the gyno had me come in on my period and everything to dilate me and it just wasn’t working so she said she’s not going to do it and i was boohoo crying and i explained i didn’t even want kids and i was so frustrated that i had to go through all of this to prevent pregnancy. oh also i was on the pill for 3 years and i wanted out of hormones so i decided to try to get an iud. anyways, she said she know someone who could give me a tubal ligation at first. i talked to him and he didn’t take my insurance so i met another lady who actually so happened to be on the childfree list on reddit. i met with her and they pressed me pretty hard about it then mentioned a bisalp instead of a tubal. i guess to see my level of seriousness they had me to write a letter and i did exactly that and got approved!

fast forward to the week of surgery i did all of my running around so grocery store, cleaning, my hair, my school work, etc. the day of they gave me instructions such as don’t eat past 12am, don’t drink after 9am, shower the night of and morning of, no deodorant,and no skin products. the nurses were super sweet to me. they did standard stuff like urine test. my boyfriend and mom were there for support too. they prepared to roll me back and they gave me some sorta anxiety medication through iv and i’ve lowkey been thinking bout it since like it worked like scary good but i digress. they told me to breathe into a mask and i was out. the surgery only took 40 mins from what my family said since they had like a live update thing there for families. i woke up but i kinda was forcing myself to wake up cause idk i have a irrational fear of dying so i tryna get myself out of it. i was really sore and they gave me fentanyl and oxy. after like a hour they sent me on my way and i was walking and everything else. also i had a belly button and two hip incisions on my right side.

the next day which was post op day 1 i was super sore i rotated tylenol and motrin every 4 hours and i made sure i got up and walked every hour or two for at least 10 mins. i ate regular slept regular and im a stomach sleeper so i didnt even care i couldn’t sleep on my back i just powered through the pain. day 2: i started my cycle (unfortunately) so i was doing recovery and period sad case. i continued to do the same thing as day 1. day 3 my incisions became super sore and i had some uncomfortable feelings happening by my incisions but i just kept taking medicine and my heating pad worked wonders too. i would wear it when i would walk around the house. day 4 i was honestly totally fine i was walking around regular and i even drove to marshalls and dollar tree to dilly dally. i just cant walk as fast as normal. day 5 i went back to work and school but i told my job i cant lift anything for 4-6 weeks.

overall my experience was great sorry for the long drawn out story telling. i hope all the details help give a better picture and feeling to the girls who wanna do it! use the childfree list on reddit it’s the truth!

Hey! Quick question, I know I posted last week about it, talked to my doctor and did pre-op today. She stated she’d also be removing endo at the same time; for those with ACA compliant plans, did it also cover the endo removal if you had it or did you pay separately? I’m waiting for my phone call to be answered by insurance. 99% sure mine is ACA compliant, I’m triple checking now.

Everything went smoothly till now, one of my incisions healed a bit ugly ( it gaped open a bit, just 1mm or so ) and had to heal from the inside out, but otherwise all is good. However since yesterday i have pain near that incision side and the whole area is really sensitive. I did a bit of sport in the last few days and also carried my e-scooter ( about 19 kilo ) down the stars and i am wondering if it could be because of that, or should i be concerned and talk to my surgeon? ( He is a bit far away to just go by easily ).

Currently 2 weeks post op and have to take a course of antibiotics to fight infected incision sites.

After the surgery I stayed the night in hospital. Next day I was discharged with very basic post care notes
- leave dressing on for 3-5 days
- let steri strips and glue fall off by themselves

The dressings pulled the steri strips and glue off with them leaving me with open incisions. Did what I could at home to keep them closed and protected. Went and visited my GP who started me on a course of antibiotics.

Did anyone else experience similar? How long did it take to fully heal and close the incisions?

I got a bilateral salpingectomy last Wednesday, October 21 here we are a week later and I’m still having some weird feelings from the stitches in my stomach. I wouldn’t say it’s painful, but it’s very very very uncomfortable. I was told this is normal from some people I know who had this done and people I’ve read online. The problem is is I actually have a fear of my bellybutton being touched and people putting their fingers in it and my stitches feel like somebody just has their finger in my belly button and it’s creeping me the fuck out, i keep panicking. I try to be mindful and tell myself my body is healing. It’s not working much. Night time is the absolute worst morning after I’ve been able to sleep all night is the best. Did anyone else have this issue or do I need to go to a psychiatrist lol. I just need this feeling to go away and I wanna get back to work, but I can’t concentrate on anything. I have some antihistamines for panic attacks but they’re not really taking away that feeling that I feel… does anybody know how to make your belly button numb lol.

So I got my bilateral salpingectomy done and my insurance completely paid for it. Or so I thought. I'm young and quite naive with insurance goings. I did not meet my deductible this year. Its 10k because I have bad insurance through Blue Cross Blue Shield. On the bill it says they covered over 7k and leaves me with 3600 remaining. I spoke with them and they said its my deductible remaining.

Does that sound right? Is the affordable care act supposed to cover everything even if deductibles aren't met? Should I file a formal internal appeal with the National Women's law center about this bill? Or am I on the hook for this?

Originally my insurance wouldn't cover the surgery until many calls later and telling them to change and check surgical coding because they have to pay for it. SO idk if I'm being messed with again since I know Blue Cross Blue Shield makes it very difficult for them to actually cover things. Sorry for the long post. ♡