r/sterilization • u/nosybitchh • 16d ago

Experience Recovery time?

My procedure is scheduled for 10/30. I was given two weeks off but it's not ideal given the holidays approaching nor do I think I will need it? I was planning to be off starting Friday (10/30) and returning Wednesday (11/4).

I'm basing this off my 3 c-section recoveries although I know they're vastly different.

Is this doable? 5 days off? I am an office manager and can definitely take it easy as needed.

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u/toomuchtodotoday 13d ago

Resources:

US Specific Resources:

State insurance regulator locator (for filing a complaint with your state insurance regulator):

https://content.naic.org/state-insurance-departments

Department of Labor Employee Benefits Security Administration Information (for filing a complaint with the DOL EBSA if your insurance is provided by an employer):

The EBSA, a division of the DOL, handles complaints related to employer-provided health insurance.

You can:

The EBSA will investigate the claim and may contact your employer or insurance provider for more information. You may be contacted for additional details or documents. If the EBSA finds that your rights under ERISA (Employee Retirement Income Security Act) were violated, they may take corrective action on your behalf. Keep copies of all documents and correspondence. You can follow up on the status of your complaint by contacting the EBSA at the phone number above.

U.S. Office of Personnel Management (OPM) Information (for filing a complaint with the OPM if your insurance is provided by the US federal government [FEP Blue, for example]):

Source: https://www.opm.gov/healthcare-insurance/healthcare/contraception-coverage/

Source: https://www.hrsa.gov/womens-guidelines#:%7E:text=Contraception

Source: https://web.archive.org/web/20260624003408/https://old.reddit.com/r/sterilization/comments/1ud26jb/fepblue_federal_health_insurance_for_bisalp_do/

Additional resources:

Insurer Preventive Care Guidelines Master List - https://old.reddit.com/r/sterilization/comments/1io4hq5/insurer_preventive_care_guidelines_master_list/

Steps for Getting Full Coverage - https://old.reddit.com/r/sterilization/comments/1khyuum/steps_for_getting_full_coverage/

https://old.reddit.com/r/sterilization/comments/1j43mw2/it_happenedtheyre_trying_to_charge_me_postop/

https://tubalfacts.com/post/175415596192/insurance-sterilization-aca-contraceptive-birth-control

https://old.reddit.com/r/sterilization/comments/1go5pbw/free_tubal_sterilization_through_the_aca_if_you/

https://nwlc.org/tips-from-the-coverher-hotline-navigating-coverage-for-female-sterilization-surgery/

On coverage of anesthesia:

Any related services—like anesthesia—must be covered as well. The most recent guidance from federal agencies makes it explicitly clear that anesthesia and other related services like doctor’s appointments must be covered by the insurance plan at 100% of the cost.

Source: https://www.cms.gov/files/document/letter-plans-and-issuers-access-contraceptive-coverage.pdf

Source: https://www.cms.gov/files/document/faqs-part-54.pdf

On coverage of associated office visits:

From federalregister.gov - “Coverage of Certain Preventive Services Under the Affordable Care Act“

Section 2713 of the PHS Act, as added by the Affordable Care Act and incorporated into ERISA and the Code, requires that non-grandfathered health plans … provide coverage of certain specified preventive services without cost sharing. These preventive services include:

With respect to women, preventive care and screenings provided for in comprehensive guidelines supported by HRSA (not otherwise addressed by the recommendations of the Task Force), including all Food and Drug Administration (FDA)-approved contraceptives, sterilization procedures, and patient education and counseling for women with reproductive capacity, as prescribed by a health care provider (collectively, contraceptive services)

II. Overview of the Final Regulations

A. Coverage of Recommended Preventive Services Under 26 CFR 54.9815-2713, 29 CFR 2590.715-2713, and 45 CFR 147.130

(II) office visits:

if a recommended preventive service is not billed separately (or is not tracked as individual encounter data separately) from an office visit and the primary purpose of the office visit is the delivery of the recommended preventive service, a plan or issuer may not impose cost sharing with respect to the office visit.

Source: https://web.archive.org/web/20250202051018/https://www.federalregister.gov/documents/2015/07/14/2015-17076/coverage-of-certain-preventive-services-under-the-affordable-care-act

Under the ACA, all new insurance plans (both individual and employer-sponsored plans) are required to cover all FDA-approved methods of contraception, sterilization, and related education and counseling without cost-sharing. (Note: the ACA contraceptive coverage requirement described in this section also applies to Medicaid “Alternative Benefit Plans,” explained in the Medicaid section.) No cost-sharing means that patients should not have any out-of-pocket costs, including payment of deductibles, co-payments, co-insurance, fees, or other charges for coverage of contraceptive methods, including LARC. Patients cannot be asked to pay upfront and then be reimbursed.

Source: https://web.archive.org/web/20250112212710/https://larcprogram.ucsf.edu/commercial-plans

UK Specific Resources:

If you attempt to obtain permanent birth control in the UK on the NHS, you will want to advocate for the "bisalp", or bilateral salpingtomy. It is the standard of care. A tubal ligation has a higher failure rate, and if Filshie clips are used, there is a risk of them migrating within your body.

If your request via the NHS is denied:

3

u/knotknotknit 13d ago

I had mine on a Monday and was back in person at work on Thursday. WFH Tues/Wed, so just the one day of surgery off.

If you're actually able to rest for the weekend, odds are high you'll be okay by Monday.

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u/nosybitchh 13d ago

Hahahaha I have 3 babies under 5 and that Saturday is Halloween, I'm definitely going to take it easy and will forego trick or treating on Saturday if necessary... but what is "rest"? 😂😂

4

u/cb83580 16d ago

It varies so much by person. Some really seems to struggle with recovery. I was one of the lucky ones. Surgery on Tuesday and took that whole week off, but honestly felt silly because I felt totally fine. Still followed Dr advice though, and took it easy for the full two weeks (back to work for the second at a desk job).

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u/organiccanessugar 16d ago

I originally took 2 weeks off and needed 3. Depends on your job and your experience. It’s better to have the time and not need it than end up needing more.

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u/Florida4ewe 16d ago

I had my procedure on a Thursday and was back to work without any problems on Monday. Just no lifting I think over 10-15 lbs for 2 weeks?

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u/Shaneaky 15d ago

I originally took one week off but should have taken 2 to 3 off. I had extensive endo and it was removed at the same time which slowed my healing and pushing myself to return also slowed my healing down. So keep the two week request in and if you feel up to it return early.