Posts Tagged ‘pregnancy’

Health Insurance For Pregnant Women and Healthy Babies

Monday, April 5th, 2010

If you are planning for a baby in the future, or if you are already pregnant, you may have some concerns about all of the health care you will need to make sure that you protect your health, and the health of the baby. It is easier to plan if you are planning for a future arrival, but if you are already pregnant, you still have some options.

Here are some options to get medical coverage so you can have a healthy baby.

One common way to cover the cost of having a baby is with an employer provided group medical plan. These usually provide very comprehensive coverage so you can be sure that most of the costs will be paid for. However, millions of Americans lack group medical benefits.

These people could turn to private insurers if the woman is not already pregnant. But actually, maternity options are rare in the individual health insurance market. And you must have the policy in place before you start working on making a baby! If you are planning for a future pregnancy, you probably want to search for private health insurance with a maternity rider.

Understand that major medical insurance should cover any pregnancy complications. But it may not cover normal maternity care or deliveries unless that is spelled out in the policy.

Right now, individual insurers will decline pregnant women. You must take the policy in advance. Perhaps in the future, with health reform, this will not be true. But according to the news, those changes will not be in force for about 4 more years. I am not exactly sure what sort of pregnancy benefits that future policies will have either.

You may not like the idea of relying on public or charity support. But the important thing is for people to do everything they can to have a healthy baby and healthy parents. This really does more good in the long run. With that in mind let’s look at some options.

Every state has some sort of high risk health insurance pool, but not everybody qualifies for it. In many cases, premiums are expensive and deductibles are fairly high. Now the CHIPS program is the federal and state public health insurance option for children from low to moderate income children does also cover pregnant women. This is a viable option for many families. And the newborn children should also be covered as soon as they are born. You could look for information on CHIPS, Medicaid, and High Risk Health Pools in your state.

Your county may have a hospital system that will provide services on a sliding fee scale depending upon your income. You may also find financial aid resources on a website like PPARX.org.

Do you have a higher income or some savings?

Many doctors and hospitals can help you with a pre-paid service. This gives you a way to pay out the normal cost of doctors and hospitals. You can call area hospitals to find out more. I have even seen some listed on the internet.

We would like to help you find Unemployment Health Insurance .

Helping Yourself Through Infertility Cost

Wednesday, December 2nd, 2009

Determining which infertility treatments your policy covers can be tricky. On one hand, you want accurate information. On the other hand, you risk alerting your insurer to the fact that you are about to undergo infertility treatment. If you are covered by a group plan, you cannot be disenrolled for medical reasons. But if you have individual coverage, there is always the possibility that the insurer will try to cancel your policy if it anticipates costly claims on the horizon. There are ways, however, to make inquiries about coverage without jeopardizing your policy.

The first step is to read your claims booklet carefully. This booklet may contain statements like “the treatment of infertility is not provided through the general policy, but may be part of a rider clause negotiated by a specific group”. Your personnel manager should be able to give you a copy of the rider. Even though infertility treatment (particularly in vitro procedures or even inseminations) may not be covered, try to find out if diagnostic blood tests and ultrasound procedures are, and, if so, how many are covered. From the booklet you may be able to deduce which diagnoses are more likely than others to be reimbursable.

You also will want to know what percentage of treatment costs are typically covered by the policy. Sometimes, instead of paying a percentage of a medical bill, some companies offer a flat fee. They may, for example, pay up to $45 for any blood analysis, even if your analysis costs $100. Try to find out what the general fee schedule is, particularly if you have ever seen the following explanation (or one like it) from the insurer when it only partially reimbursed you: “This charge has been declared over and above the customary fee charged by medical professionals in your area”. Finally, try to find out about deductibles and at what ceiling your coverage changes. Many companies begin to offer a higher percentage of coverage when your co-payment ceiling is reached. Also try to find out which drugs may be covered.

Injectable fertility medications are all costly. Some insurers cover them, others do not. Some policies have an annual dollar limit for prescriptions. If you are lucky, your policy includes a liberal prescription plan that covers almost all prescription medications (except birth-control pills), with a small co-pay by you. If your claim booklet fails to answer all your questions about covered medications, your pharmacist, who deals with numerous insurance carriers every day, may be able to answer some of your questions.

Another good source of information is a co-worker or friend who has had the same policy you do and has undergone infertility diagnosis and treatment. This individual should be able to give you the “lowdown” on the insurer’s payment record and can alert you to any land mines. Even if this person is only an acquaintance, remember that there is an allegiance of sorts among infertile people. Having suffered and survived the experience, most are eager to help and comfort others in any way they can.

Karol Cardinson is a Health specialist with over 20 years in Diet and Nutritions Research as well as a former Infertility sufferer and can help you with getting pregnant sooner and naturally. Find out how to reverse Female and Male Infertility naturally while improving the quality of your life! For more information go to Infertility Solutions Online