Insurance - anyone have fed BCBS basic?

heatheroo

If you were pregnant this year (because I think the plan might have changed within the past year or two) and were under 35, was your NT scan covered? I am finding unclear & inconsistent information out there, and so far the customer service has not been entirely helpful.

tomandcourt

I was pregnant in 2009, FWIW, but absolutely everything was covered (all pre-natal visits, scans, etc.) except for a $100 admission fee to the hospital and the circumcision.

heatheroo

I called to ask about cystic fibrosis screening recently & was told the plan doesn't cover genetic screening, but I didn't think to ask about the NT scan at that time. The person I talked to had me on hold for almost an hour though, and she still didn't sound like she was really sure of the answer.

WinesNot Whines

Mine was covered in 2010.

brea311

I have this insurance (for federal employees; doubt it makes much of a difference) and had no idea if my NT would be covered but never asked.  I got the itemized letter and there is no charge to me!  One thing to keep in mind - I have to go to a different technician when I get my sonos and so I had a referral from my doctor.  I dont know if that might change the policy of paying for things but mine cost nothing to me   Good luck!

sarabean

I am under 35, we have BCBS basic and mine was covered this year.

alliapistor

I am currently pregnant and have fed BCBS basic.  For the entire pregnancy, I had a co-pay at my first visit to confirm pregnancy, will have a $150 copay for the hospital stay, and will have to pay a copay for the baby's circumcision.  That's it. 

I am 35, but I don't think they had to code it special or anything to get coverage.  I don't know if it matters where I went for the NT scan though.  I did it at GIVF in Merrifield, which is just treated like a specialist's office.  I'm not sure if they would treat it differently if it was done at a hospital outpatient facility.  (I know my ENT office visits are treated differently because it is billed by Johns Hopkins hospital instead of a regular physician service.)

I had an NT scan.  I also had the basic blood screening to see if I'm a carrier for cystic fibrosis and a few other things.  No charge.

Mama Angelina

I am currently pregnant, and yes my NT scan was covered. I don't have any costs except when I deliver (I think $100 or so) and if I have to go to the ER (which I did, twice).  That cost $150 each time.

lemonpoundcake

I also have BCBS Basic.  I had my NT scan in May, and both the blood tests and the sonogram were 100% covered.  I tried to verify that they would be beforehand and found it virtually impossible -- BCBS would only tell me that they would cover it if it was "medically necessary routine maternity care" without telling me what that encompassed.  I spoke to my doctor's billing office (Reiter Hill) and they told me that the sonogram, at least, was coded as a routine maternity sonogram so that it should be covered -- and it was.  I also did the sequential blood screen at 16 weeks, and that was 100% covered also. 

If you are worried, you may try talking to your doctor's billing office.  There are so many feds around here that I am sure they routinely deal with BCBS and may be able to offer you some reassurance.